Register

Name *

First Name

Last Name

Phone *

We will need an accurate cellphone number and one that is able to receive texts in order to communicate Closure dates, Cancelations, and Payment information.

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Child #1 Name *

First Name

Last Name

#1 Child's birthdate *

MM

DD

YYYY

Child #2 Name

First Name

Last Name

#2 Child's birthdate

MM

DD

YYYY

Child #3 Name

First Name

Last Name

#3 Child's birthdate

MM

DD

YYYY

Child #4 Name

First Name

Last Name

#4 Child's birthdate

MM

DD

YYYY

Waiver: *

I acknowledge, agree and am fully aware that tumbling, dance, rock climbing, sports fitness and other related activities involve many risks, dangers and hazards, including but not limited to height and rotation in a unique environment. I recognize that there are several known and unknown dangers and risks to my child’s physical well being associated with activities of this type. I agree and acknowledge and consent that my child is physically able to participate in the tumbling, dance, rock climbing, sports fitness and other related activities. I agree to waive, release and discharge from any and all liabilities, claims, actions, damages, costs, or expenses of any nature whatsoever, whether in law or equity, known or unknown, both present and future, against High Altitude Kids and any of it directors, officers, members, managers, employees, volunteers, representatives, and property owners, arising out of or in any way related, directly or indirectly, to my participation in the tumbling, dance, rock climbing, sports fitness programs and related activities, including those related to the Releases’ own negligence.

I agree(for my child, myself and my heirs, executors, administrators, legal representatives, assignees, and successors in interest), to indemnify and hold harmless the Releasees from any harm, injury, damage or loss which my child may cause and/or contribute to while participating in tumbling, dance, rock climbing sports fitness and other related activities.

The release and indemnification provisions above shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. If any part of the release and indemnification provisions shall be found by a court of competent jurisdiction to be void or unenforceable for any reason, that finding shall in no way affect (to the maximum extent permitted by applicable law) the remainder of the release and indemnification provisions.

I agree that this agreement contains the entire agreement between me and High Altitude Kids concerning the subject matter hereof, and that this agreement supersedes and replaces all prior negotiations, proposed agreements, agreements or representations whether written or oral.

I acknowledge that neither High Altitude Kids nor any of the Releaseees have made any representation, warranty, promise or covenant whatsoever express or implied, not contained in this agreement, to induce me to execute this agreement.

I agree that this Agreement, and any claims related to this agreement, whether such claims are in the nature of tort, contract, or otherwise, shall be construed in accordance with the laws of the State of Utah.

I represent and warrant that I am the parent and/or legal guardian of the student listed above.

I represent and warrant that: (1) I have read this agreement carefully; (2) I understand that this agreement contains a release of liability, which will legally prevent me, my child, and/or any other person, from recovering damages in the event of injury to or death of my child arising out of or related in any way to his/her participation in tumbling, dance, rock climbing, sports fitness programs and any related activities; (3) I have full right and authorization to waive, relinquish and compromise those claims as set forth above; (4) I have not previously assigned, conveyed or pledged to any third person and claims released by this agreement; (5) I am knowingly and voluntarily releasing and waiving claims against the Releasees as set forth above; (6) I have executed this agreement voluntarily; and (7) this agreement is binding upon me, my child or children, anyone claiming on behalf or through my child, and our respective heirs, assigns and legal agents or representatives.

Withdrawal Policy *

Withdrawal from classes must be made in writing and submitted at least 4 weeks prior to the withdrawal date.  When written withdrawals are received 4 weeks prior to the withdrawal date tuition will be refunded or waived for the period following the withdrawal DATE.  Please follow this procedure so that we can adequately staff our classes and maintain our small class size so that we can create an environment in which students can thrive.

I understand I will not be credited for missed classes and I have read and understand the withdrawal policy

Signature *

For Waiver and Withdrawal Policy

First Name

Last Name