Too Busy to Browse
Menu
Programs
Cheerleading
Dance
Tumbling
Private Lessons
Events
Birthday Parties
Summer Programming
Upcoming Events
Gym Activities
Helpful Links
Facility Rentals
Waiver
Job Postings
Blog
Pro Shop
New Member Special
Too Busy to Browse
Menu
Programs
Cheerleading
Dance
Tumbling
Private Lessons
Events
Birthday Parties
Summer Programming
Upcoming Events
Gym Activities
Helpful Links
Facility Rentals
Waiver
Job Postings
Blog
Pro Shop
New Member Special
NEW MEMBER SPECIAL
Waiver
Waiver
WAIVER
Waiver and Release of Liability and Hold Harmless Agreement
"
*
" indicates required fields
I am completing a waiver for:
A minor (Under 18 years)
An adult (18 years +)
Waiver For Minors Under 18
Parent or Guardian Name
*
First
Last
Participant's Name
*
First
Last
Participant's Date of Birth
*
MM slash DD slash YYYY
Phone
*
Email
*
Allergies, Medications, Special Conditions:
Parent Consent to Participate
*
I release Rampage Athletics, its representatives, employees, and any third parties acting under its authority, from any liability or claims arising from the use of these photographs and/or videos. I have read and understood the terms of this consent form before signing it.
I am the parent or legal guardian of the participant. I acknowledge that my child is in good health. I give permission for my child to participate in any and all Rampage Athletics activities, including transportation to and from the activities. I give permission for, and assume any and all risk of my child's use of various surfaces including natural and artificial grass, cheer mats, hard dirt, and under varying conditions, including, dry, wet and muddy, and I hereby understand that any surface may be regular or irregular.
I acknowledge the inherent risk and danger of participation in any sport and I understand that participation in tumbling, cheerleading and/or dance may result in BODILY INJURY, PARALYSIS, BRAIN INJURY, PERMANENT DISABILITY AND/OR DEATH. I acknowledge that protective equipment does not prevent all participant injuries. I release, indemnify, hold harmless and waive any claim against the coaches, staff, and any and all organizers, sponsors, supervisors, participants, and persons transporting my child to and from activities, for any injury to my child whether the result of negligence or for any other cause.
I hereby acknowledge and comprehend that any disputes arising with Rampage Athletics and its affiliated parties will be subjected to binding arbitration in Blue Springs, MO, in accordance with the laws of Missouri. I hereby consent to this binding arbitration as a substitute for any legal proceedings. Furthermore, I am aware and in agreement that if I challenge any decision or ruling made by Rampage Athletics and seek alternative remedies, I will be responsible for reimbursing Rampage Athletics for all reasonable legal fees and expenses incurred. In the event that any part of this agreement is deemed unenforceable, the remaining provisions shall continue to be fully effective. By signing below, I confirm that I have thoroughly read, comprehended, and voluntarily agreed to be bound by all the aforementioned terms, and that all information provided by me is accurate and truthful.
I am aware that Rampage Athletics carries group accident medical insurance which is secondary or excess to my insurance which is considered primary insurance. Further, I agree to notify the president of any medical claim from participation in Rampage Athletics as soon as reasonably possible. I understand that the class fees is are not premium for insurance and that deductibles may apply.
I give permission for emergency medical/dental treatment or first aid to be administered to my child for any illness/injury/accident resulting from participation in Rampage Athletics activities.
I hereby grant permission to Rampage Athletics to use photographs and/or videos of me/my child, taken during any activity, for the purpose of promoting and publicizing their activities. I understand that these images may be used in various forms of media, including but not limited to print publications, websites, social media platforms, and promotional materials. I acknowledge that I will not receive any compensation for the use of these photographs and/or videos. I also understand that once the images are published, they may be viewed by a wide audience and may be downloaded, shared, or used by others without the control or knowledge of Rampage Athletics.
Waiver For Adults Over 18
Participant's Name
*
First
Last
Participant's Date of Birth
*
MM slash DD slash YYYY
Phone
*
Email
*
Allergies, Medications, Special Conditions:
Parent Consent to Participate
*
I release Rampage Athletics, its representatives, employees, and any third parties acting under its authority, from any liability or claims arising from the use of these photographs and/or videos. I have read and understood the terms of this consent form before signing it.
I am the participant in Rampage Athletics (Rampage Athletics Enterprises) activities. I acknowledge that I am in good health and voluntarily choose to participate in any and all activities, including but not limited to bounce houses, tumbling, cheerleading, stunting, and dance. I understand that participation may involve the use of various surfaces such as natural and artificial grass, cheer mats, and hard dirt, under varying conditions including dry, wet, or muddy, and that these surfaces may be regular or irregular.
I fully recognize and accept the inherent risks and dangers of these activities. I understand that participation in tumbling, cheerleading, stunting, dance, and related activities may result in serious injury, including BODILY INJURY, PARALYSIS, BRAIN INJURY, PERMANENT DISABILITY, AND/OR DEATH. I acknowledge that protective equipment does not eliminate all risk of injury. I release, indemnify, hold harmless, and waive any claim against Rampage Athletics, its coaches, staff, organizers, sponsors, supervisors, other participants, and anyone involved in transporting participants, for any injury or harm to me, whether caused by negligence or otherwise.
I acknowledge and agree that any disputes with Rampage Athletics or its affiliated parties will be resolved through binding arbitration in Blue Springs, Missouri, under Missouri law. I consent to binding arbitration as a substitute for legal proceedings. I further agree that if I pursue claims outside of arbitration, I will be responsible for reimbursing Rampage Athletics for all reasonable legal fees and expenses incurred. If any part of this agreement is found unenforceable, the remaining provisions will remain fully effective. By signing, I confirm that I have read, understood, and voluntarily agreed to these terms, and that all information I have provided is accurate and truthful.
I authorize Rampage Athletics (Rampage Athletics Enterprises) to provide or obtain emergency medical/dental treatment or first aid for any illness, injury, or accident resulting from my participation.
I grant permission to Rampage Athletics (Rampage Athletics Enterprises) to use photographs and/or video of me, taken during any activity, for promotional purposes. I understand these images may appear in media such as print publications, websites, social media, and promotional materials. I acknowledge that I will not receive compensation for such use and that once published, Rampage Athletics cannot control further distribution or use of these images.
Participant's Signature
*