BRAINCHILD CREATIONS COMMUNITY ACADEMY / ACROS RELEASE FORM * * *
The undersigned parent or guardian of the enrolled Student does hereby certify that no other person has legal custody of the STUDENT; and that the undersigned hereby expressly agrees and consents to participation by the STUDENT in all programs and activities conducted upon or taking place within the premises of BRAINCHILD CREATIONS COMMUNITY ACADEMY / ACROS gymnastics & dance, in Vanderburgh county, Indiana. The undersigned agrees and acknowledges that there are risks of injury to the STUDENT, including a potential for permanent disability or death, resulting from such participation or from use by the STUDENT or other of equipment involved in the activity, and with such knowledge freely assumes all such risks to the STUDENT, known or unknown, and assumes full responsibility, therefore. The undersigned has read and understands the rules, including all safety-related rules, with respect to the participation by the STUDENT in such activities and agrees that the STUDENT will fully comply therewith in all respects. In consideration of permitting the STUDENT’S participation in such activities, and full understanding of the risks involved, the undersigned agrees to and does hereby release, indemnify and hold BRAINCHILD CREATIONS LLC / ACROS and its officers, directors, shareholders, managers, employees, and agents and volunteers harmless, without limit as to time or amount, from and against any and all claims, demands, causes of actions and damages of any kind whatsoever (plus BRAINCHILD CREATIONS LLC / ACROS attorney’s fees and all costs of litigation incurred by it), including, but not limited to, and of the same growing out of negligence on the part of BRAINCHILD CREATIONS LLC / ACROS, past, present or future, which may now or hereafter be asserted by reason of any loss, injury or damage to the person or property of the STUDENT, or of the undersigned, within or anywhere about the premises of BRAINCHILD CREATIONS COMMUNITY ACADEMY / ACROS, it being the intention of the undersigned that this instrument of release and indemnity shall be a complete bar to all such claims, demands or causes of actions, regardless of when arising or by whom asserted. The undersigned agrees that the provisions hereof shall be contractual and not mere recitals, and that this release and indemnity agreement shall be binding upon the heirs, personal representatives, beneficiaries, legal representatives, and assigns of the undersigned, The above signed represents that the STUDENT is in good health, but authorizes emergency medical aid where necessary, including x-rays and other diagnostic tools.