As the parent or legal guardian of the child named below, I hereby give my full consent and approval for my child to participate in the Wellbeats Train Like a Superhero event. I understand that there are certain risks of injury inherent in the practice and play of this sport, as well as in traveling and other related activities incidental to my child’s participation, and I am willing to assume these risks on behalf of my child. I hereby certify that my child is fully capable of participating in the designated sport and that my child is healthy and has no physical or mental disabilities or conditions that would restrict full participation in these activities, except as listed below. In addition to giving my full consent for my child’s participation, I do hereby waive, release and hold harmless Wellbeats, its employees, sponsors, and representatives for any injury that may be suffered by my child in the normal course of participation in the activities incidental thereto, whether the result of negligence or any other cause. I grant Wellbeats permission to use any photographs or videos captured at the event for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content. I understand that no royalty, fee or other compensation shall become payable to me by reason of such use.*
Name of Parent/Guardian*
Name of Child*
Date of Birth*
List of any physical limitations:
List of any food allergies:
I have read and understand this document and release*
Parent/Guardian Signature:*