WAIVER AND RELEASE FROM LIABILITY
In consideration of being permitted to participate with nunchaku, poi, staff spinning or any other program associated with Flowpulse, including travel to and from, in any practice, training seminar/clinic, fundraiser, and/or tournament, and related events of Flowpulse, I hereby:
1. Acknowledge and fully understand that I will be engaging in a sport that could result in a serious injury, and/or severe social and economic losses due to not my own actions, inactions or negligence, but also to the action, inaction or negligence of others, the sport of freestyle spinning, or conditions of the premises or any equipment used. Further, I acknowledge that there may be other risks not known to me or not reasonably foreseeable at this time.
2. Knowing the risks involved, I assume that risk and accept personable responsibility for the damages following such an injury, and the possibility (but highly unlikely) of death or permanent disability.
3. Release, waive, and discharge and covenant not to sue Flowpulse (Ken Hill), or any of it’s affiliates, their receptive administrators, directors, agents, coaches or other employees or volunteers of the organization, other participants, their parents, guardian (s), and if applicable, owners, lessees, lessons, of premises all of whom are hereinafter referred to as “releases”, from any and all claims, demands, losses or damages on account of injury, including permanent disability and death, or damage to property caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise.
4.Parents or legal guardians of minor participants (under age 18) additionally agree that they will instruct the minor participant to the above warnings and conditions and their ramifications, and that they consent to the minor's participation.
(PLEASE PRINT) Name of Participant: _____________________________________
Signature: ______________________________________________________________
(PLEASE PRINT) Name of Parent/Guardian:__________________________________
Signature:______________________________________________________________
Date:_________________________