Intro

All ages under 18 MUST HAVE a liability waiver signed by their parent or legal guardian.
EVERYONE ENTERING THE GYM MUST HAVE a waiver initialed and COMPLETELY filled out. Ages 18+ may be asked to provide a valid drivers license.
PLEASE READ EVERY SECTION CAREFULLY. BY SIGNING IT ON BEHALF OF YOU AND YOUR DEPENDENTS/MINORS, YOU ARE GIVING UP YOUR AND/OR SPOUSE AND/or DOMESTIC PARTNER AND/OR MINOR’S LEGAL RIGHTS
TERMS OF AGREEMENT: I understand that this agreement extends forever into the future and will have full force and legal effect each and every time I enter The Matrix Gym, Inc. The undersigned further expressly agrees that this agreement is intended to be as broad and inclusive as is permitted by the laws of this state and that is any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

Agree and Acknowledge

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

Basic Information

Use parent or guardian information if under 18

Contact Information

Use parent or guardian information if under 18

Custom Fields
Minor Information

Enter the information for the children for which you are responsible for:



RELEASE OF LIABILITY WAIVER:
PLEASE READ THIS DOCUMENT CAREFULLY. BY SIGNING IT, YOU ARE WAIVING YOU AND/OR YOUR MINOR’S LEGAL RIGHTS.
In consideration for participation in activities at The Matrix Gym, I hereby agree to the following:
I, (we) despite all reasonable precautions implemented for safety, am (are) fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis, etc. as well as other damages and losses associated with participation in the program or activities. I (we) knowingly and willingly assume all such risks. Consequently, I (we) hereby for myself, heirs, executors, administrators, do waive and release any and all legal rights and claims for damages against the owner, operators, coaches and other members of The Matrix staff (“releases”) from personal injury or accident of any sort or nature suffered by me (us), the undersigned, by reason of participation or membership in classes, lessons, birthday parties or any other programs or activities at The Matrix. I approve the use of any photographs taken by the Matrix in which the undersigned is part of to be used on the Matrix website or print media.

YOU ARE THE OPERATOR: I, for myself and my child(ren) or ward, have read the safety rules, agree to operate/abide on any piece of equipment at this facility on the behalf of any attraction participants and enforce all safety rules of The Matrix and/or the manufacturer of the equipment, and agree that the failure of myself, my child or my ward to follow these rules may result in injury or death.

I, the minor’s parent and/or legal guardian, understand the nature of these activities and the minor’s experience and capabilities and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activities. I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless each of the release’s from all liability claims, demands, losses or damages on the minor’s account caused or alleged to be caused, in whole or in part by the negligence of the “releases” or otherwise, including negligent rescue operations. I further agree that is, despite this release, I, the minor, or anyone on the moor’s behalf make a claim against any of the releases named above, I will indemnify, save, and hold harmless each of the releases from any litigation expenses, attorney’s fees, loss liability, damage, or cost any may incur as the result of any such claim.

MEDICAL RELEASE: The undersigned gives permission to The Matrix, its employees, owners and operators to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I hereby declare any physical/mental problems, restrictions, or condition and/or declare the participant to be in good physical and mental health. I understand that the medical personnel will decide which facility and doctor my child will be cared by and that The Matrix will not make those decisions on behalf of my child. In the event of an accident or emergency I hereby authorize my child(ren) to be transported to a hospital for medical treatment and I hold The Matrix and their representatives harmless in the execution of such. Additionally, I hereby agree to individually provide for all medical expenses which may be incurred by myself or my child(ren) as a result of any injury sustained while participating at or for The Matrix.

PHOTO RELEASE: By you and your child(ren)’s participation in Matrix activities, you are granting your permission for you and your child to be filmed, videotaped, audio tape, or photographed, by any means and are granting full use of your likeness, voice and words without compensation.

Signature

By entering my name below and clicking the “Submit Waiver” button below, I indicate my acceptance and delivery of this waiver and release. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify you of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.