Lahaina Kid Zone Maui LLC Date Night Waiver Form All the Waiver Form must be filled in completely for the Waiver Form to be valid. CHILDS NAME * I/We fully understand that Kid Zone Maui LLC staff members are not physicians or medical practitioners of any kind. With the above in mind, I/We hereby release the Kid Zone Maui LLC staff to render temporary first aid to my child(ren) in the event of any injury or illness and, if deemed necessary by the Kid Zone Maui LLC staff to call our doctor and seek medical help, including transportation by the staff and or/ it’s representatives whether paid or volunteer, to any health care facility or hospital, or call an ambulance for said child should Staff deem necessary. We, the staff Kid Zone Maui LLC, recognize our obligation to make our members and their parents aware of the risks and hazards associated with the sport of gymnastics/tumble/fitness activities. Members may suffer injuries, possibly minor, serious or catastrophic (paralysis or even death) in nature. Tumble training can be dangerous and can lead to injury if not taken seriously or constructively Parent’s are advised to make their child(ren) aware of the possibility of injury and encourage their children to follow the safety rules and coaches instruction at all time. Kid Zone Maui LLC, its staff and coaches, will not be responsible or held liable for injuries sustained by any student during the course of tumbling, cheerleading instructions, open workouts, Date Nights, Camps, Birthday Parties, general activities, or in the course of any exhibition, competition or clinic in which he/she may participate or while traveling to or from an event. With the above in mind, and being fully aware of the risks and possibility of injury involved, I/We consent to have our child(ren) participate in the program offered and further agree to waive all rights and claims to damages that my child(ren) may sustain against Kid Zone Maui LLC and it’s representatives whether paid or volunteer. On this day of Date * intending to be legally bound hereby, the undersigned agrees and does hereby release from liability and to indemnify and hold harmless Kid Zone Maui LLC and its members and staff, and any affiliates related to Kid Zone Maui LLC. This release of liability for personal injuries (including death) and personal losses or damaged occasioned by, or in connection with any activity or accommodations for this event. I GIVE PERMISSION FOR MY CHILD’S PHOTO TO BE TAKEN IN CLASSES AND AT PERFORMANCES. I RELEASE KID ZONE MAUI LLC AND COACH SUE TO USE PHOTOS FOR PROMOTION PURPOSES. I declare that: * I have read or have had explained to me and agree to the rules of conduct I have read or have had explained and agree to the policy and procedures I the parent of above, declare that I have read all rules of conduct, policy and procedures, and the above waiver consent form and agree to all terms All these items must be checked in order for your Waiver Form to be valid. Child's Signature * Draw It Type It Clear Date Signed * Parent’s Signature * Draw It Type It Clear Date Signed * Take time to read the Rules of Conduct and our Policy and Procedures.