Waiver

I understand and accept that my participation in this class is at my own risk. I take responsibility for injury and/or loss or damaged personal property related to this activity and my presence in this facility. I hereby release the instructor, the venue, and their agents from any and all liability for claims, demands, injuries, actions, or causes of actions arising out of, or connected with, my use of any of the services, equipment, or facilities on this property. Neither the instructor nor the venue or their agents are liable for loss or damage to my personal property. I further understand that the activities I engage in on these premises may involve physically strenuous exercise and risk of bodily injury and I accept full responsibility for any activity I engage in. This agreement is between Flow Foundry, 3135 West Maple St, Wichita, KS 67208 and (your name below): 

Name
Name
Birthdate
Birthdate
Address
Address
Participating Child Name (1)
Participating Child Name (1)
Participating Child Birthdate (1)
Participating Child Birthdate (1)
Participating Child Name (2)
Participating Child Name (2)
Participating Child Birthdate (2)
Participating Child Birthdate (2)