Lyndell Institute Waiver and Release of Liability, Assumption of Risk, Parental Consent, and
Indemnity Agreement
1. I understand the nature of this exercise program, acknowledge my/the minor’s experience and
capabilities, and believe I/the minor is qualified to participate in such activity. I further acknowledge that I am aware that the activity will be conducted in facilities open to the public. I further agree and warrant that if, at any time, I believe conditions to be unsafe, I/or the minor will immediately discontinue further participation in the activity.
2. I/the minor fully understand that: (a) physical activities involve risks and dangers of serious bodily
injury, which may include permanent disability, paralysis, and death (“risks”); (b) these risks and dangers may be caused by my own actions, or inactions, the actions or inactions of others participating in the activity, the condition in which the activity takes place, or the negligence of the “releasees” named below;
(c) there may be other risks and social and economic losses either not known to me or not readily
foreseeable at this time; and (d) I/the minor fully accept and assume all such risks and all responsibility for losses, costs, and damages incurred as a result of my participation in the activity.
3. I/the minor hereby release, discharge, covenant not to sue, and agree to hold harmless the Lyndell Institute, any school and/or club where the activity may take place, or that which has a vested interest in the activity, their respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and if applicable, owners and lessors of premises on which the activity takes place (each considered one of the “releasees” herein) from all liability, claims, demands, losses, or damages on account caused or alleged to be caused in whole or in part by the negligence of the “releasees” or otherwise, and further agree that if, despite this release, I, or anyone on my/the minor’s or anyone on my/the minor’s behalf makes a claim against any of the releasees named above, I will indemnify, save and hold harmless each of the releasees from any litigation expenses, attorney fees, loss liability, damage, or cost that may incur as the result of any such claim.
I have read this agreement, fully understand its terms, understand that I/the minor have given up rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by the law and agree that if any portion of this agreement is held to be invalid that the balance, notwithstanding, shall continue in full force and effect.
I give permission for photographs and videos of me or my child taken during the Activity to be used for promotional purposes by the School.
Below signature(s) denotes understanding and acceptance of all aforementioned policies:
{sign_date}
Lyndell Institute, LLC
