Event Waiver

Please complete this waiver to participate in acrobatics and aerial services provided by Catapult Movement.

Parent/Guardian First Name & Last Name (Put self if over 18)

Event Name/Birthday Person's Name

Participant #1 First & Last Name

Participant #2 First & Last Name

Participant #3 First & Last Name

Participant #4 First & Last Name

Phone

Event Date required

Participant #1 Birthday required

Participant #2 Birthday

Participant #3 Birthday

Participant #4 Birthday

LIABILITY WAIVER & ASSUMPTION OF RISKS. I hereby register the participants for acrobatic and aerial services provided by CATAPULT MOVEMENT LLC. I certify that the participant is physically capable to participate in this optional activity. The parents/guardians and participants fully understand the risk and releases CATAPULT MOVEMENT LLC from fault and any and all claims of injury.

I agree to terms of the Liability Waiver and Assumption of Risks.

PHOTO/VIDEO/AUDIO RELEASE. I hereby grant permission to CATAPULT MOVEMENT LLC, the right to use the participant's image, in video or still, and/or the likeness and sound of the participant's voice as recorded on audio or video without payment or any other consideration.

Yes, I agree to the terms of the Photo/Video/Audio Release.

No, the participant should not be photographed and/or recorded.

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