Candidate's Personal Information

Guardian/Parents Information

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Liability Waiver and Agreement

I hereby permit my minor child / children herein indicated on this form, to participate in Mallakhamb, and related activities. In consideration of the services of Mallakhamb federation of USA, operator of Mallakhamb federation of USA , their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as MFU’s), I hereby agree to release, indemnify, and discharge Mallakhamb federation of USA (MFU), on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:
  1. I acknowledge that my participation in Mallakhamb and related fitness exercises that occurred within the facility/at the event entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to my minor child/children, to the property, or to the third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. The risks include, among other things: Slipping, falling from heights; collision with fixed objects or people (including Mallakhamb equipment); injuries including, spraint, fractures, scrapes, bruises and cuts, dislocations, pinched fingers, concussions and serious injuries to the head, back, spine or neck.
  2. I expressly agree and promise to accept and assume ALL OF THE RISKS inherent in Mallakhamb and related fitness exercises performed at MFU. My child’s/children’s participation in activities at MFU is purely voluntary, and I elect to participate my child/children in spite of the risks.
  3. I hereby voluntarily release, forever discharge and agree to indemnify and hold harmless to MFU from any and all claims, demands, or causes of action, which are in any way connected with my child/children participation in activities at MFU or my child/children use of MFU’s equipment or facilities, including any such claims which allege negligent acts or omissions of MFU. I understand that this perpetual release / waiver will apply to each and every occasion that my child/children visit MFU facility.
  4. Should MFU or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.
  5. I certify that my child/children have adequate insurance to cover any injury or damage may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition that my child/children may have.
  6. I hereby certify that my child/children are physically able to participate on all of the equipment located at MFU and that my child/children do not have any medical condition that would cause them not to be able to participate or would increase risk of injury. MFU reserves the right to seek medical clearance for anyone that participates in MFU activities if in the reasonable opinion of MFU’s such medical clearance is appropriate.
  7. In the event that I file a lawsuit against MFU, I agree to do so solely in the Middlesex County in the State of New Jersey, and I further agree that the substantive law of New Jersey shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of the agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect.
  8. From time to time students are being video taped and photographed by staff, Media reporters, Audiences, other Organizations. These photographs and video tapes are often broadcasted on social media to promote the sports and health and wellness. Therefore I give my permission to publish my child’s/ children video & photographs on social media to promote the sport.
  9. By signing this document, I acknowledge that if anyone is hurt, during my minor child/children participation in activities at MFU, I may be found by a court of law to give up my right to maintain a lawsuit against MFU on the basis of any claim from which I have released them herein.
  11. Thank you for your continued trust in Mallakhamb. As with the transmission of any disease like cold or flu, you may exposed to COVID - 19, also known as coronavirus at any time or any place. Be assured that we have followed state and federal regulations and disinfection protocols to limit transmission of all disease in our studio and continue to do so. Despite our careful attention to disinfection and use of personal barriers, there is still chance that you could be exposed to illness in our premises just as you might be at grocery store, restaurant, or store. 'Social Distancing" nationwide has reduced the transmission of the corona-virus. Although we have taken measures to provide social distancing in our premises, due to nature of the sport it is not possible to maintain social distancing between coach and kids.