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TODAY'S DATE: August 27, 2016

Photography/Video Release

Participants involved in any activities offered at Sundial may be photographed or videotaped. The undersigned hereby consents to the use of these photographs and/or videos without compensation, on the Sundial website or in any editorial, promotional or advertising material produced and/or published by Sundial.

I Agree


Waiver and Release of Liability

Express assumption of risk: I, the undersigned, am aware that there are risks involved in physical training. These risks include, but are not limited to: strains, sprains, injury or death due to falls or negligence on the part of myself or others. I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for my participation in any activity or class while at Sundial. I have no physical impairments, injuries, or illnesses that will endanger me or others.

Release: I am willingly and voluntarily participating in the activities at Sundial. I, the undersigned hereby release Sundial, Loan Ranger Acquisitions, LLC, Edwards Realty Group, LLC, their principals, agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in these activities, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties. This Release shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this Release is held legally invalid, I agree that the remainder of the Release shall remain in full legal force and effect.

If I am signing on behalf of a minor child, I also give permission for administration of first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the well-being of the child.

I have read and understood the foregoing assumption of risk, and release of liability. I understand that by signing this form I am waiving valuable legal rights.

I Agree

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Adult Minor
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First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Participant's Address
Address Line1:*
Street address, P.O. box, company name, c/o
Address Line2:
Apartment, suite, unit, building, floor, etc.
City:*
State/Province:*
Zip/Postal:*
Country:*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
I certify that I am the parent or legal guardian of the child named above. 1 confirm that I have read and understand the above consent and release and that I agree (on behalf of my child) to be bound by each of the above conditions.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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