The Vault Ninja Academy

-Participant Waiver-

Participant Information

Child's Name *

Child's Date of Birth *

Allergies/Medicine

Parent Information

First Name

Last Name

Email *

Phone *

Emergency Contact Information

Name & Relationship to Participant

Emergency Contact Phone #

Release & Waiver of Liability

I understand and acknowledge that Ninja & Tumbling activities have inherent risks, dangers, and hazards, and that my child's participation in such activities and/or use of equipment may result in injury including but not limited to bodily injury, strains, fractures, and other serious disabilities.

I, on behalf of myself, my personal representatives, and my heirs hereby voluntarily agree to release, waive, discharge, hold harmless defend and indemnify Vault Ninja LLC and its owners, volunteers and employees from any and all claims, actions or losses for bodily injury, property damage, wrongful death or otherwise which may arise out of my child’s use of equipment or my child’s participation in Ninja activities. I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have presently or in the future for the negligent acts of other conduct by the owners, agents, officers or employees of Vault Ninja LLC..

I, being the parent or guardian of the participant, do hereby authorize Vault Ninja LLC its coaches, trainers, volunteers, agents or any member of its staff, to obtain emergency medical treatment from any physician, hospital, or other qualified medical personnel or facility as needed in the event of accident or injury. I also agree to be responsible for all the costs of said emergency treatment.

Parent/Legal Guardian Digital Signature *

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