LIMITLESS ATHLETICS INC. WAIVER, MEDICAL TREATMENT AUTHORIZATION, MEDIA CONSENT, LIABILITY RELEASE, POLICY AGREEMENT Read carefully before signing. Signing this document means I understand it entirely and agree to its contents. My signature means, in part, that I understand participation in a class or program of Limitless Athletics Inc. can be risky and dangerous and may result in serious injury or death to me or my child, but that I will not sue or bring any action against Limitless Athletics Inc. or anyone associated with Limitless Athletics Inc. _______I, the undersigned parent or guardian, do hereby grant permission for my daughter / son (hereinafter referred to as “Participant”), whose name is printed below, to participate in the activities and programs held by Limitless Athletics Inc., and agree to the contents of this document. OR _______I am over the age of 18 and am participating in the activities and programs of Limitless Athletics Inc (I shall also be referred to as “Participant”.) and agree to the contents of this document. DISCLAIMER CLAUSE Limitless Athletics Inc, Directors, Agents, contractors, employees, coaches/instructors, trainers, volunteers, members and representatives, are not responsible for any injury, loss or damage of any kind sustained by any person while registered as an Limitless Athletics Inc member and participating in any and all sanctioned activities such as Bounce House, Bumper Balls, Climbing Wall,Tumbl Trac(Trampoline), Sumo Suits, events, practice sessions or social activities,including injury, death, loss or damage. 1. Assumption of Risk. I acknowledge that all programs of Limitless Athletics Inc including, but not limited to cheerleading, dance, tumbling and fitness classes, team training, practices, performances, competitions, demonstrations, parades, and traveling to and from such activities, whether held at the premises of Limitless Athletics Inc or elsewhere (collectively referred to as the “Activities”) are physical activities that involve running, jumping, kicking, lifting, rotation, and coordinated body movements. I agree that participation by the Participant in any Activity involves inherent physical risks and I agree to assume the full risk of any bodily injuries (including death), damages, or loss which I / the Participant may sustain as a result of any activities arising out of, connected with, or in any way associated with participation in the Activities. I certify that the Participant’s present level of physical condition is consistent with the demands of active participation in the Activities. In consideration of my/my child’s membership and /or participation in Limitless Athletics Inc Activities, I acknowledge that I am aware of the possible risks, dangers and hazards associated with being a member, including the possible risk of severe or fatal injury to myself/my child or others. 2. Waiver. I agree that I, my heirs, next of kin, executors, administrators and assigns (collectively “my Successors”) do hereby fully release Limitless Athletics Inc from any and all liability, claims and causes of action arising from any injury, damage or loss I / the Participant may sustain as a result of any activities arising out of, connected with, or in any way associated with my / the Participant’s participation in the Activities and covenant not to sue Limitless Athletics Inc for the same, whether caused by the negligence of Limitless Athletics Inc or otherwise. This is a complete and irrevocable release and waiver. 3. Indemnity. I agree to indemnify, hold harmless and defend Limitless Athletics Inc from any and all claims arising out of or in consequence of my / the Participant’s participation in Activities. This indemnification includes, but is not limited to legal fees. 4. Medical Authorization. In the case that I / the Participant sustains an injury or medical emergency during activities relating to the Activities, I authorize the owners, directors, staff, or other associated representative of Limitless Athletics Inc to act for me / the Participant, according to their judgement, seeking immediate treatment and / or the necessary emergency care for me / the Participant. This authorization DOES NOT require a prior determination of a threat to my / the Participant’s life or a danger of serious permanent injury. I hereby hold the owners, directors, staff or other associated representatives of Limitless Athletics Inc harmless in the exercise of this authority. 5. Emergency Transport and Care. I authorize and agree to pay any expense incurred for emergency transport or treatment for the Participant. 6. Authorization for Photo/Video Use & use of contact info. I authorize Limitless Athletics Inc to use photographs, video recordings or any other likeness of myself / the Participant in its promotional or sales materials, advertisements, web site, Facebook, and I hereby waive any right to compensation or any claim of ownership thereto. If the Participant is active on a Limitless Athletics Inc team, I also authorize them to release my contact information to the Limitless Athletics Inc Cheerleaders Athletes Association for purposes of providing fundraising & related information to me. 7. Rules and Commitments. I have read, understand and agree to the Limitless Athletics Inc Policies and Procedures as well as the Participant Handbook. I understand the policies are designed for the safety and protection of me / the Participant and I hereby agree to inform my child (the Participant) of the risks of the Activities and the importance of abiding by the rules and expectations. I have read and understand the financial commitments and the fee policies. I have read and fully understand this release, waiver, indemnity and authorization and have had the opportunity to ask questions and have them answered. I am aware that by signing this release, waiver, indemnity and authorization, I am giving up certain rights which I, my child, the Participant or my Successors may have against Limitless Athletics Inc. Name of Athlete/Participant (print): _____________________________________________________________________________________ Name of Parent if Participant is under 18 years of age: ____________________________________________________ Date:______________________________ Signature of adult Participant/Guardian of Participant: _____________________________________________________________________________________ ____________ Phone # ____________________________________________________________ email: ________________________________________________________________________________ Witness (signature): ______________________________________________________________ Witness (print name): _______________________________________________

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