Eaten * Have you eaten in the past 4hrs? It's a good idea to before hand to increase your blood sugar levels.

Physician * Are you currently under the care of a physician, if so what for.

Medication * Are you currently taking any medications, if so what are they.

Allergies

Alcohol * How much alcohol did you drink in the last 24 hours?

History of fainting? *

History of bleeding disorders? *

Heart Condition or Epilepsy? *

Latex Allergy? *

Hypoglycemia or Diabetes *

Photography * I release all rights to any photographs taken of me and the suspension and give consent in advance to their reproduction in print or electronic form.

* Participation in any classes or performance offered by The Guardian Spokane LLC, including aerialist, acrobatic, circus arts, stilt walking, suspension and other hook activities, dance or other classes or performance (hereafter, The Activity) can carry with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range from:
Minor injuries such as scratches, bruises, and sprains. Major injuries such as eye injury or loss of sight, serious cuts, joint, back, or spine injuries, broken bones, heart attacks, and concussions. Catastrophic injuries including paralysis and death.

* Assumption of Risk, Release and Waiver, and Indemnity

As a Participant, I understand, acknowledge, and agree to the following:
1. I am aware that my participation in The Activity may result in physical or emotional injury, paralysis, death, or other damage to myself, to property or to third parties. I understand and accept that such risk cannot be eliminated without jeopardizing the essential qualities of The Activity, and I assume full responsibility for any risks, injuries, or damages, known or unknown, associated with my participation in The Activity, this includes, but is not limited to, use of the equipment and facility in participation of The Activity.
2. I represent and affirm that I am in good physical health and can perform all exercises involved in The Activity. I have no medical condition or injury which would prevent me from fully participating in The Activity or in the use of the equipment and facility.
3. I understand that it is my ongoing and continuing responsibility and obligation to inform the instructor of any previous or current medical conditions, injuries, or surgeries in writing prior to my participation in The Activity.
4. I acknowledge my continuing and ongoing obligation and responsibility to inform the instructor if I am experiencing any physical discomfort during the The Activity, and discontinue any activity and inform the instructor of any pain, discomfort, fatigue, injury, limitation or other problems or symptoms that I may suffer or become aware of before, during or immediately after my participation in The Activity.
5. I agree to follow all instructions given to me by my instructor during my participation in The Activity. I understand that any deviation from the instructions shall be at my own risk. I understand that if the instructor believes I am intentionally disregarding the rules and/or instructions given regarding the class, the facility, or the equipment, they have the absolute right to expel me or otherwise suspend or terminate services.
6. I, my legal guardians and all members of my family, knowingly, voluntarily, and expressly waive any claim against The Guardian Spokane LLC, owners, volunteers, facilitators instructors for injury or damages and hereby forever release and discharge The Guardian Spokane LLC, owners and instructors from any liability for accidental injury or illness that I may sustain as a result of my participation in The Activity or use of any equipment or facilities including such claims which allege negligent acts or omissions of The Guardian Spokane LLC.
7. I further agree to indemnify and hold harmless The Guardian Spokane LLC and all associated businesses and individuals from all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney fees brought as a result of my involvement in The Activity and to reimburse them for any such expenses incurred. Any claims brought by minors after reaching the age of majority are waived by their parent/legal guardian and the parent/legal guardian agrees to indemnify and hold harmless The Guardian Spokane LLC as set forth herein.
8. If I have an injury or health concern that I believe may be affected by my participation in The Activity I am encouraged to speak with my practitioner and my doctor before hand.
I understand that my practitioner is not a medical professional and cannot give medical advice.

Acknowledgment of Understanding:

I have read this waiver of liability, assumption of risk, indemnity agreement, and rules and guidelines, in their entirety and fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have had sufficient opportunity to read this entire document and to consult counsel or my doctor before agreeing to be bound by its terms or am waiving this opportunity. I hereby assert that my participation is voluntary and that I knowingly assume all such risks.

I further acknowledge that the terms of this agreement are contractual, and not a mere recital, and intend by signing to be a complete and unconditional release of all liability to the greatest extent allowed by law and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.