Dominique Dawes Gymnastics Academy Registration Waiver Release

DISCLAIMER: KQLD, LLC t/a Dominique Dawes Gymnastics Academy (“Dominique Dawes Gymnastics”) is not responsible for any injury (or loss of property) to any person while practicing, training, taking class, competing, participating in open gym, special events, demonstrations or shows, or in any other way involved in gymnastics, tumbling, trampoline, or ninja training (flips, rolls, jumps, kicks) and strength and agility training in general (collectively the “Activity”) at Dominique Dawes Gymnastics for any reason whatsoever, including ordinary negligence on the part of Dominique Dawes Gymnastics, its members, managers, agents, or employees, teachers, coaches, administrators, directors, agents, officers, volunteers, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place (hereinafter each a “Releasee” and collectively the “Releasees”). Additionally, the novel coronavirus, Coronavirus Disease 2019 (COVID-19), has been declared a worldwide pandemic by the World Health Organization and COVID-19 is highly contagious. As a result, federal, state, and local governments and federal and state health agencies have recommended social distancing and have, in many locations, prohibited the congregation of groups of people. Dominique Dawes Gymnastics, where possible, has and will continue to implement policies intended to reduce the potential for the spread of COVID-19, but cannot guarantee that any person will not become infected with COVID-19 as a result of attending or participating in any Activity at Dominique Dawes Gymnastics.

CONSENT: I consent to my/minor’s participation in the Activity and acknowledge that I fully understand my/minor’s participation may involve risk of serious bodily injury, permanent disability, paralysis, illness, or death, including losses which may result not only from my/minor’s own actions, inactions or negligence, but also from the actions, inactions, or negligence of others, the condition of the facilities, equipment, or areas where the Activity is being conducted, and/or the rules of play of this type of Activity. I understand that if I have any risk concerns, I shall discuss them completely with the staff before I sign this agreement and before my/minor’s participation in the Activity begins. Further, by registering my/minor’s participation for the Activity, and utilizing the services, facilities or premises at Dominique Dawes Gymnastics, I affirm that I understand and voluntarily accept any increased risk to me, my family or members of my household of contracting COVID-19. I acknowledge and understand that the circumstances regarding COVID-19 are changing from day to day and that accordingly, U.S. Centers for Disease Control & Prevention guidance is regularly modified and updated, and I accept full responsibility for familiarizing myself with the most recent updates, as well as the changing conditions in our community, and all state and local orders.

ASSUMPTION OF RISK: Knowing and understanding the risks involved with participation in the Activity, including, but not limited to, those associated with the spread of COVID-19, I hereby voluntarily and willingly assume full and complete responsibility for all losses and damages, including injury, illness, and death, resulting from my/minor’s participation in the Activity, including transportation to and from the Activity. I agree I am financially responsible for any losses and damages resulting from my/minor’s participation in the Activity.

ATTESTATION: I affirmatively represent and attest that neither I, my minor, nor anyone in my household:

* is experiencing any symptom related to COVID-19 including, but are not limited to the following: cough, shortness of breath or difficulty breathing, chills, fever in excess of 100 degrees, muscle pain / body aches, sore throat, new loss of taste or smell, nausea, vomiting, and diarrhea. Symptoms may appear 2-14 days after exposure to the virus and range from mild symptoms to severe illness.
* has traveled internationally within the last 14 days.
* has traveled to a highly impacted area within the United States of America in the last 14 days.
* believe that they have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
* has not been diagnosed with Coronavirus/Covid-19 and not yet cleared as not contagious by state or local public health authorities

I agree that should any of the above attestations change, so that there is an increased risk of infection of COVID-19 due to my/minor’s participation in the Activity, that I will immediately notify Dominique Dawes Gymnastics and agree to withhold my/minor’s participation in the Activity immediately until cleared for further participation by a medical professional licensed in the State of Maryland.

WAIVER: In consideration for my/minor’s participation in the Activity, I hereby waive all claims or causes of action, including ordinary negligence, against Dominique Dawes Gymnastics, and the Releasees, arising out of my/minor’s participation in the Activity wherever, whenever or however the same may occur, and further agree that if, despite this waiver and release of liability, and assumption of risk, I, or anyone on my/minor’s behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost (including attorneys’ fees and court costs), which any may incur as the result of such a claim.

I understand that this waiver is intended to be as broad and as inclusive as permitted by the laws of the State of Maryland and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. I further agree that the venue for any legal proceedings shall be in the Circuit Court of Montgomery County, Maryland.

I have read this form and fully understand that by signing this form, I am giving up legal rights and or remedies which may be available to me/minor for the ordinary negligence of Dominique Dawes Gymnastics or any person listed above.

PHOTO & VIDEO RELEASE: I grant consent for my/minor’s picture to be taken or to be filmed while participating in activities at Dominique Dawes Gymnastics. I authorize Dominique Dawes Gymnastics to use and publish images, photographs, pictures, portraits, and audio, video and/or film footage of me/minor in all forms of media and in all manner for publication including, but not limited to, advertising and marketing campaigns, press releases, periodicals, and website use. I hereby waive any right I may have to review, inspect, edit or approve such publication and I release Dominique Dawes Gymnastics from any claims I may have against it for use of such images, photographs, pictures, portraits, and audio, video and/or film footage of me/minor.

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Registration Waiver and Release Text
DISCLAIMER: KQLD, LLC t/a Dominique Dawes Gymnastics Academy (“Dominique Dawes Gymnastics”) is not responsible for any injury (or loss of property) to any person while practicing, training, taking class, competing, participating in open gym, special events, demonstrations or shows, or in any other way involved in gymnastics, tumbling, trampoline, or ninja training (flips, rolls, jumps, kicks) and strength and agility training in general (collectively the “Activity”) at Dominique Dawes Gymnastics for any reason whatsoever, including ordinary negligence on the part of Dominique Dawes Gymnastics, its members, managers, agents, or employees, teachers, coaches, administrators, directors, agents, officers, volunteers, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place (hereinafter each a “Releasee” and collectively the “Releasees”). Additionally, the novel coronavirus, Coronavirus Disease 2019 (COVID-19), has been declared a worldwide pandemic by the World Health Organization and COVID-19 is highly contagious. As a result, federal, state, and local governments and federal and state health agencies have recommended social distancing and have, in many locations, prohibited the congregation of groups of people. Dominique Dawes Gymnastics, where possible, has and will continue to implement policies intended to reduce the potential for the spread of COVID-19, but cannot guarantee that any person will not become infected with COVID-19 as a result of attending or participating in any Activity at Dominique Dawes Gymnastics. CONSENT: I consent to my/minor’s participation in the Activity and acknowledge that I fully understand my/minor’s participation may involve risk of serious bodily injury, permanent disability, paralysis, illness, or death, including losses which may result not only from my/minor’s own actions, inactions or negligence, but also from the actions, inactions, or negligence of others, the condition of the facilities, equipment, or areas where the Activity is being conducted, and/or the rules of play of this type of Activity. I understand that if I have any risk concerns, I shall discuss them completely with the staff before I sign this agreement and before my/minor’s participation in the Activity begins. Further, by registering my/minor’s participation for the Activity, and utilizing the services, facilities or premises at Dominique Dawes Gymnastics, I affirm that I understand and voluntarily accept any increased risk to me, my family or members of my household of contracting COVID-19. I acknowledge and understand that the circumstances regarding COVID-19 are changing from day to day and that accordingly, U.S. Centers for Disease Control & Prevention guidance is regularly modified and updated, and I accept full responsibility for familiarizing myself with the most recent updates, as well as the changing conditions in our community, and all state and local orders. ASSUMPTION OF RISK: Knowing and understanding the risks involved with participation in the Activity, including, but not limited to, those associated with the spread of COVID-19, I hereby voluntarily and willingly assume full and complete responsibility for all losses and damages, including injury, illness, and death, resulting from my/minor’s participation in the Activity, including transportation to and from the Activity. I agree I am financially responsible for any losses and damages resulting from my/minor’s participation in the Activity. ATTESTATION: I affirmatively represent and attest that neither I, my minor, nor anyone in my household: * is experiencing any symptom related to COVID-19 including, but are not limited to the following: cough, shortness of breath or difficulty breathing, chills, fever in excess of 100 degrees, muscle pain / body aches, sore throat, new loss of taste or smell, nausea, vomiting, and diarrhea. Symptoms may appear 2-14 days after exposure to the virus and range from mild symptoms to severe illness. * has traveled internationally within the last 14 days.</li> * has traveled to a highly impacted area within the United States of America in the last 14 days. * believe that they have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19. * has not been diagnosed with Coronavirus/Covid-19 and not yet cleared as not contagious by state or local public health authorities I agree that should any of the above attestations change, so that there is an increased risk of infection of COVID-19 due to my/minor’s participation in the Activity, that I will immediately notify Dominique Dawes Gymnastics and agree to withhold my/minor’s participation in the Activity immediately until cleared for further participation by a medical professional licensed in the State of Maryland. WAIVER: In consideration for my/minor’s participation in the Activity, I hereby waive all claims or causes of action, including ordinary negligence, against Dominique Dawes Gymnastics, and the Releasees, arising out of my/minor’s participation in the Activity wherever, whenever or however the same may occur, and further agree that if, despite this waiver and release of liability, and assumption of risk, I, or anyone on my/minor’s behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost (including attorneys’ fees and court costs), which any may incur as the result of such a claim. I understand that this waiver is intended to be as broad and as inclusive as permitted by the laws of the State of Maryland and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. I further agree that the venue for any legal proceedings shall be in the Circuit Court of Montgomery County, Maryland. I have read this form and fully understand that by signing this form, I am giving up legal rights and or remedies which may be available to me/minor for the ordinary negligence of Dominique Dawes Gymnastics or any person listed above. PHOTO & VIDEO RELEASE: I grant consent for my/minor’s picture to be taken or to be filmed while participating in activities at Dominique Dawes Gymnastics. I authorize Dominique Dawes Gymnastics to use and publish images, photographs, pictures, portraits, and audio, video and/or film footage of me/minor in all forms of media and in all manner for publication including, but not limited to, advertising and marketing campaigns, press releases, periodicals, and website use. I hereby waive any right I may have to review, inspect, edit or approve such publication and I release Dominique Dawes Gymnastics from any claims I may have against it for use of such images, photographs, pictures, portraits, and audio, video and/or film footage of me/minor.
Type of Event*
Party Child Name/Open Gym Session/Other*
Consent*
I affirm that I am of legal age and am freely signing this agreement.
Signature Agreement*
By typing your name you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
Signature*
Date
MM slash DD slash YYYY
Print Full Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Participant Name (One Child Per Form)*
Hidden
Participant Name (One Child Per Form)- old
First Last
Participant DOB*
MM slash DD slash YYYY
Gender*
- Female
- Male

Privacy Policy

Protecting your private information is our priority. This Statement of Privacy applies to www.dominiquedawesgymnasticsacademy.com, and Dominique Dawes Gymnastics Academy and governs data collection and usage. For the purposes of this Privacy Policy, unless otherwise noted, all references to Dominique Dawes Gymnastics Academy include

www.dominiquedawesgymnasticsacademy.com, KQLD LLC and

www.dominiquedawesgymnasticsacademy. The Dominique Dawes Gymnastics Academy website is a news and information and online shopping site. By using the Dominique Dawes Gymnastics Academy website, you consent to the data practices described in this statement.

Collection of your Personal Information

In order to better provide you with products and services offered, Dominique Dawes Gymnastics Academy may collect personally identifiable information, such as your:

– First and Last Name

– Mailing Address

– E–mail Address

– Phone Number

– Participating child’s name and DOB

We do not collect any personal information about you unless you voluntarily provide it to us. However, you may be required to provide certain personal information to us when you elect to use certain products or services. These may include: (a) registering for an account; (b) entering a sweepstakes or contest sponsored by us or one of our partners; (c) signing up for special offers from selected third parties; (d) sending us an email message; (e) submitting your credit card or other payment information when ordering and purchasing products and services. To wit, we will use your information for, but not limited to, communicating with you in relation to services and/or products you have requested from us. We also may gather additional personal or non–personal information in the future.

Use of your Personal Information

Dominique Dawes Gymnastics Academy collects and uses your personal information to operate and deliver the services you have requested.

Dominique Dawes Gymnastics Academy may also use your personally identifiable information to inform you of other products or services available from Dominique Dawes Gymnastics Academy and its affiliates.

Sharing Information with Third Parties

Dominique Dawes Gymnastics Academy does not sell, rent or lease its customer lists to third parties.

Dominique Dawes Gymnastics Academy may share data with trusted partners to help perform This is a RocketLawyer.com document.

statistical analysis, send you email or postal mail, provide customer support, or arrange for deliveries. All such third parties are prohibited from using your personal information except to provide these services to Dominique Dawes Gymnastics Academy, and they are required to maintain the confidentiality of your information.

Dominique Dawes Gymnastics Academy may disclose your personal information, without notice, if required to do so by law or in the good faith belief that such action is necessary to: (a) conform to the edicts of the law or comply with legal process served on Dominique Dawes Gymnastics Academy or the site; (b) protect and defend the rights or property of Dominique Dawes Gymnastics Academy; and/or (c) act under exigent circumstances to protect the personal safety of users of Dominique Dawes Gymnastics Academy, or the public.

Tracking User Behavior

Dominique Dawes Gymnastics Academy may keep track of the websites and pages our users visit within Dominique Dawes Gymnastics Academy, in order to determine what Dominique Dawes Gymnastics Academy services are the most popular. This data is used to deliver customized content and advertising within Dominique Dawes Gymnastics Academy to customers whose behavior indicates that they are interested in a particular subject area.

Automatically Collected Information

Information about your computer hardware and software may be automatically collected by Dominique Dawes Gymnastics Academy. This information can include: your IP address, browser type, domain names, access times and referring website addresses. This information is used for the operation of the service, to maintain quality of the service, and to provide general statistics regarding use of the Dominique Dawes Gymnastics Academy website.

Use of Cookies

The Dominique Dawes Gymnastics Academy website may use “cookies” to help you personalize your online experience. A cookie is a text file that is placed on your hard disk by a web page server. Cookies cannot be used to run programs or deliver viruses to your computer. Cookies are uniquely assigned to you, and can only be read by a web server in the domain that issued the cookie to you.

One of the primary purposes of cookies is to provide a convenience feature to save you time. The purpose of a cookie is to tell the Web server that you have returned to a specific page. For example, if you personalize Dominique Dawes Gymnastics Academy pages, or register with Dominique Dawes Gymnastics Academy site or services, a cookie helps Dominique Dawes Gymnastics Academy to recall your specific information on subsequent visits. This simplifies the process of recording your personal information, such as billing addresses, shipping addresses, and so on. When you return to the same Dominique Dawes Gymnastics Academy website, the information you previously provided can be retrieved, so you can easily use the Dominique Dawes Gymnastics Academy features that you customized.

You have the ability to accept or decline cookies. Most Web browsers automatically accept cookies, but you can usually modify your browser setting to decline cookies if you prefer. If you

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choose to decline cookies, you may not be able to fully experience the interactive features of the Dominique Dawes Gymnastics Academy services or websites you visit.

Links

This website contains links to other sites. Please be aware that we are not responsible for the content or privacy practices of such other sites. We encourage our users to be aware when they leave our site and to read the privacy statements of any other site that collects personally identifiable information.

Security of your Personal Information

Dominique Dawes Gymnastics Academy secures your personal information from unauthorized access, use, or disclosure. Dominique Dawes Gymnastics Academy uses the following methods for this purpose:

– SSL Protocol

When personal information (such as a credit card number) is transmitted to other websites, it is protected through the use of encryption, such as the Secure Sockets Layer (SSL) protocol.

We strive to take appropriate security measures to protect against unauthorized access to or alteration of your personal information. Unfortunately, no data transmission over the Internet or any wireless network can be guaranteed to be 100% secure. As a result, while we strive to protect your personal information, you acknowledge that: (a) there are security and privacy limitations inherent to the Internet which are beyond our control; and (b) security, integrity, and privacy of any and all information and data exchanged between you and us through this Site cannot be guaranteed.

Right to Deletion

Subject to certain exceptions set out below, on receipt of a verifiable request from you, we will: • Delete your personal information from our records; and

Direct any service providers to delete your personal information from their records.

Please note that we may not be able to comply with requests to delete your personal information if it is necessary to:

Complete the transaction for which the personal information was collected, fulfill the terms of a written warranty or product recall conducted in accordance with federal law, provide a good or service requested by you, or reasonably anticipated within the context of our ongoing business relationship with you, or otherwise perform a contract between you and us;
Detect security incidents, protect against malicious, deceptive, fraudulent, or illegal activity; or prosecute those responsible for that activity;
Debug to identify and repair errors that impair existing intended functionality; • Exercise free speech, ensure the right of another consumer to exercise his or her right of free speech, or exercise another right provided for by law;

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Comply with the California Electronic Communications Privacy Act;
Engage in public or peer–reviewed scientific, historical, or statistical research in the public interest that adheres to all other applicable ethics and privacy laws, when our deletion of the information is likely to render impossible or seriously impair the achievement of such research, provided we have obtained your informed consent;
Enable solely internal uses that are reasonably aligned with your expectations based on your relationship with us;
Comply with an existing legal obligation; or
Otherwise use your personal information, internally, in a lawful manner that is compatible with the context in which you provided the information.

Children Under Thirteen

Dominique Dawes Gymnastics Academy collects personally identifiable information from children under the age of thirteen. Dominique Dawes Gymnastics Academy collects this information for the following reason(s): Birthday party participates. Parent/Guardian provides us the child’s name and DOB.

If you are under the age of thirteen, you must ask your parent or guardian for permission to use this website. If you are a parent and you have questions regarding our data collection practices, please contact us using the information provided at the end of this Statement of Privacy.

Disconnecting your Dominique Dawes Gymnastics Academy Account from Third Party Websites

You will be able to connect your Dominique Dawes Gymnastics Academy account to third party accounts. BY CONNECTING YOUR DOMINIQUE DAWES GYMNASTICS ACADEMY ACCOUNT TO YOUR THIRD PARTY ACCOUNT, YOU ACKNOWLEDGE AND AGREE THAT YOU ARE CONSENTING TO THE CONTINUOUS RELEASE OF INFORMATION ABOUT YOU TO OTHERS (IN ACCORDANCE WITH YOUR PRIVACY SETTINGS ON THOSE THIRD PARTY SITES). IF YOU DO NOT WANT INFORMATION ABOUT YOU, INCLUDING PERSONALLY IDENTIFYING INFORMATION, TO BE SHARED IN THIS MANNER, DO NOT USE THIS FEATURE. You may disconnect your account from a third party account at any time. Clients may contact us or the third party site to delete their account.

E–mail Communications

From time to time, Dominique Dawes Gymnastics Academy may contact you via email for the purpose of providing announcements, promotional offers, alerts, confirmations, surveys, and/or other general communication. In order to improve our Services, we may receive a notification when you open an email from Dominique Dawes Gymnastics Academy or click on a link therein.

If you would like to stop receiving marketing or promotional communications via email from Dominique Dawes Gymnastics Academy, you may opt out of such communications by Emailing the third party and choosing to opt out of our email correspondence via the third party..

External Data Storage Sites

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We may store your data on servers provided by third party hosting vendors with whom we have contracted.

Changes to this Statement

Dominique Dawes Gymnastics Academy reserves the right to change this Privacy Policy from time to time. We will notify you about significant changes in the way we treat personal information by sending a notice to the primary email address specified in your account, by placing a prominent notice on our website, and/or by updating any privacy information. Your continued use of the website and/or Services available after such modifications will constitute your: (a) acknowledgment of the modified Privacy Policy; and (b) agreement to abide and be bound by that Policy.

Contact Information

Dominique Dawes Gymnastics Academy welcomes your questions or comments regarding this Statement of Privacy. If you believe that Dominique Dawes Gymnastics Academy has not adhered to this Statement, please contact Dominique Dawes Gymnastics Academy at:

Dominique Dawes Gymnastics Academy

22530 Gateway Center Drive, Suite 700

Clarksburg, Maryland 20871

Email Address:

info@dominiquedawesgymnasticsacademy.com

Telephone number:

240-690-4138

Effective as of October 12, 2021