1. I represent that I am the participant, parent or
legal guardian of the Participant(s) named below or I
have obtained permission from the parent/ legal guardian
of the Participant(s) named below to execute this
agreement on their behalf.
2. I acknowledge and understand that there are risks
associated with participation in Bodies in Motion, LLC
activities and the use of the play area, ropes course
and equipment including but not limited to: concussions,
scrapes, fractures, cuts, bumps, paralysis or death.
3. I, or myself and the participant(s) named, willingly
assume the risks associated with participation and
accept that there are also risks that may arise due to
OTHER PARTICIPANT(S) which also willingly assume.
4. I agree that the Participant(s) named, and I shall
comply with all stated and customary terms, posted
safety signs, rules, and verbal instructions as
conditions for participation in any party, event, and/
or program at Bodies in Motion, LLC.
5. I, for myself, the Participant(s) named, our heirs,
assigns, representatives, and next of kin agree to hold
harmless and indemnify the independent owner of the
Bodies in Motion, LLC facility, their predecessors.
Parents, subsidiaries and affiliates, officers and
employees from any and all injuries, liabilities or
damages from participation.
6. I additionally agree to indemnify the independent
owner of Bodies in Motion, LLC facility, their
predecessors, parent, subsidiaries and affiliates,
officers, and employees for any defense cost or expense
arising from any and all claims, injuries, liabilities
or damages arising from participation.
7. I am of physical ability to participate and am
legally competent to understand and complete this
agreement. I hereby execute this agreement without
8. I understand that by completing the fields below, and
submitting this form, that I agree with all the above
stated terms and conditions of this waiver.