| PARTICIPANT AGREEMENT, RELEASE AND ACKNOWLEDGEMENT OF RISK |
| SALTO Gymnastics, Dance & Tiny Tot Fitness |
| In consideration of the services of Salto, Inc., Ralph Druecke, Jim Melcarek, Lynn Peterson, and Jim Peterson, their employees and all other persons or entities acting in behalf of Salto, Inc., I release and discharge Salto, Inc. on behalf of myself, my children, my parents, my heirs, assigns, personal representatives and estate as follows: |
| 1. I understand and acknowledge that the activity I, or my
child will participate in poses known risks and unanticipated risks
which could result in injury, paralysis, death, emotional distress, or
damage to myself, to property, or to third parties. The following
describes some, but not all, of those risks: Gymnastics and/or dance entails certain risks which simply cannot be eliminated without jeopardizing the essential qualities of the activity. Without a certain degree of risk, gymnastics and/or dance students would not improve their skills, and the enjoyment of the sport would be diminished. Gymnastics and/or dance exposes its participants to the usual risks of cuts and bruises. Other more serious risks exists as well. Participants can fall off equipment, sprain or break wrists and ankles, and they can suffer more serious injuries as well, including paralysis or even death. If you are injured, you may require medical assistance, at your own expense. |
| 2. I and/or my child expressly agree and promise to accept and assume all of the risks existing in this activity. Participation in this activity is purely voluntary, no one has forced me to participate, and I or my child elect to participate in spite of the risks. |
| My Signature below indicates that I have had sufficient opportunity to read this entire document, that I have read it, and that I understand it affects my legal rights; I agree to be bound by its terms. |
| Signature of Parent of Guardian ________________________________________________________ |
| Print Name of Parent or Guardian_______________________________________________________ |