Child's Information *
Child's Information
Birthday *
Birthday
Mother's:
Mother's:
Father's:
Father's:
Address
Address
Emergency Contact Phone Number *
Emergency Contact Phone Number
Please indicate if you want to be added to the following email lists (optional):
One email is sent a week before the event and one reminder email is sent one day before the event.
In consideration of being allowed to participate in any way in the United Gymnastics School program, its related events and activities, you acknowledge, appreciate and agree that: 1) The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and 2) I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others, and assume full responsibility for my participation; and, 3)I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the Company immediately; and, 4)I for myself and on behalf of my heirs, assigns, and personal representatives and next of kin, hereby release, indemnify, and hold harmless the United Gymnastics School, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessees of premises used for the activity, with respect to any and all injury, disability, death , or loss or damage to person or property associated with my presence of participation, whether arising from the negligence of the releasees or otherwise, to the fullest extent permitted by law; and, 5) Participants shall be instructed to and shall carefully review and follow all United Gymnastics School safety guidelines. This acknowledgement of risk and waiver of liability, having been read thoroughly and understood completely, is signed voluntarily as to its content and intent. Please sign below.