PARENTAL PERMISSION AND CONSENT WAIVER
As the parent or legal guardian of the child named below, I hereby give my full consent and
approvalformychildtoparticipateinthegroupexerciseclassesatTheBarMethodHonolulu.
Astheparentorlegalguardian,I,onbehalfofmychildnamedbelow,assumeallresponsibilityfor
allrisk,damageorinjurywhichmayoccurwhileparticipatinginexercisesorusingtheequipment
orfacilitiesinTheBarMethodStudioinHonolulu,orwhilefollowingtheinstructingorinstructors
inoroutoftheStudioorataspecialevent.Iacknowledgethatmychildwillvoluntarilyparticipate
in The Bar Method exercise program at the studio (“Studio”) located at 2758 S King Street,
Honolulu, HI 96826. I understand that The Bar Method classes may be physically strenuous and
thatmychildwillvoluntarilyparticipateintheseclasseswiththefullknowledgethatthereisarisk
ofpersonalinjury,lossordeath.Ifurtherunderstandthatmychildmaybephysicallycorrectedby
TheBarMethodinstructor.
I ACKNOWLEDGE THAT MY CHILD IS VOLUNTARILY PARTICIPATING IN EXERCISE AT THE
STUDIO WITH FULL KNOWLEDGE OF THE DANGER INVOLVED, AND AGREE TO ASSUME, ON
BEHALF OF MY CHILD, ANY AND ALL RISKS OF BODILY INJURY, DEATH OR PROPERTY
DAMAGE.
As consideration for my child being permitted by (i) Olson Ventures, LLC d/b/a The Bar Method
Honolulu and (ii) The Bar Method Franchising Company, LLC (the entities in (i) and (ii) above
hereincollectivelyreferredtoas“TheBarMethod”)toparticipateintheexercisesattheStudio,I,
on behalf of my child, forever release and discharge The Bar Method, any affiliated organization,
andtheirrespectivedirectors,officers,employees,volunteers,agents,managers,members,owners,
contractors, and representatives (collectively “Releasees”) from any and all actions, claims, or
demands that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal
representativesnowhave,ormayhaveinthefuture,foranyinjury,wrongfuldeathorpropertyor
otherdamage,relatedto,arisingoutof,orinconnectionwith(i)myselformychildtouring,visiting
or exercising at the Studio now or at any future time, whether caused by my or my child’s
negligence or any other cause or (ii) participation in The Bar Method exercise classes in any
location or using the facilities or equipment at the Studio, whether caused by my or my child’s
negligenceoranyothercause.IalsoagreethatI,myassignees,heirs,distributees,guardians,next
ofkin,spouseandlegalrepresentativeswillnotmakeaclaimagainst,sue,orattachthepropertyof
anyReleaseeinconnectionwithanyofthematterscoveredbytheforegoingrelease.
MedicalConditions
I understand that all persons currently under treatment for any heart condition and all pregnant
women must present written permission from a licensed physician before participating in any
exercise class. I understand that all persons with any kind of back and/or knee injuries must
consult with a physician before attending exercise class. I agree to disclose, upon my child’s first
visit, to the front desk personnel any history of injury and/or physical limitation or concern. I
further agree to comply with The Bar Method’s rules regarding disclosure and presentation of
doctor’s notes. I hereby certify that my child is fully capable of participating in The Bar Method
exercisesandthatmychildishealthyandhasnophysicalormentaldisabilitiesorinfirmitiesthat
wouldrestrictfullparticipationintheseactivities,exceptaslistedbelow.
Miscellaneous
I agree that The Bar Method is in no way responsible for the safekeeping of my child’s personal
belongings while I attend class. There will be no refunds for classes taken. Packages and
membershipsmaybereturnedwithinseven(7)daysofpurchase,butrefundswillbepro-ratedfor
classestaken.
Confidentiality
The undersigned acknowledges that The Bar Method exercises are a valuable property right of The Bar
Method. The undersigned agrees, on their own and their child’s behalf, not to engage in, or assist or
facilitate, or finance, any person in engaging in, any instruction of The Bar Method exercises, or any part
of them, without the express written consent or license from The Bar Method. The undersigned agrees
that they have truthfully completed the New Client Questionnaire and have disclosed to The Bar Method
if they teach other exercise programs, specifically listing any other ballet barre-based exercise class.
IHAVECAREFULLYREADTHISAGREEMENTANDFULLYUNDERSTANDITSCONTENTS.IAM
AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND
THEBARMETHOD.
__________________________________________ ______________
(Name of Child)
(Date of Birth)
Please list any physical limitation (allergies, hearing, sight, etc.) _________________________________
_________________________________________ ______________
_____________________________________________________
(Parent Signature)
(Date)