Child Party Waiver
ASSUMPTION OF RISK * WAIVER OF LIABILITY * MEDICAL AUTHORIZATION
Gymnastics Party - Open Gym - Overnight - Parents' Night Out - Other _____________________
Child's Name: _________________________________________________ Date of Birth: ___________
Child's Name: _________________________________________________ Date of Birth: ___________ siblings only!
Name of Child's Parent: _________________________________________________________________
street city state + zip code
Home Phone: ______________________________ Cell. Phone: ______________________________
Emergency Contact: ____________________________________________________________________
l Consent to Participate
As the Parent or Legal Guardian of the Participant(s) named above, I hereby consent to their participation in the activities offered by B&B Gymnastics Training Center, Inc. (hereafter B&B Gymnastics) and the use of its facilities. I, the minor's parent or legal guardian, understand the nature of the activities my child will be involved in at B&B Gymnastics, and the minor's experience and capabilities, and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activities.
l Acknowledgement of Risk
I recognize, that potentially severe injuries, including permanent paralysis or death can occur in sports and activities involving height or motion, including but not limited to gymnastics, tumbling, trampoline, dance, cheerleading and fitness exercise. I UNDERSTAND AND ACCEPT ALL RISKS associated with my child(ren)'s participation in these activities.
l Release and Covenant Not to Sue
Being fully aware of these dangers, I on my own behalf and the behalf of my child(ren) and our respective heirs, administrators, executors and successors, hereby COVENANT NOT TO SUE and FOREVER RELEASE B&B Gymnastics, its officers, directors, shareholders, administrators, employees, volunteers or agents from all liability for any and all damages or injuries suffered while under the instruction, supervision, or control of B&B Gymnastics including, without limitation, those damages or injuries resulting from acts of negligence on the part of its officers, directors, shareholders, administrators, employees, agents, volunteers, or other participants.
l Indemnify for Possible Future Medical Expenses
In the event of an emergency I would like my above name child(ren) to be taken to a hospital for medical treatment by ambulance, which I agree to pay for and I hold B&B Gymnastics and its representatives harmless in their execution of this action. Additionally, I hereby agree to individually provide for all possible medical expenses which may be incurred by me or my child(ren) as a result of any injury sustained while participating in, or in attendance at B&B Gymnastics.
I have ready and understood this ASSUMPTION OF RISK, WAIVER OF LIABILITY and MEDICAL AUTHORIZATION and I VOLUNTARILY affix my name in agreement.
_____________________________________ _____________________________ __________ Parent / Legal Guardian's Signature PRINT Legal Name Date
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What to wear? Shorts / sports pants & T-Shirt or Leotard. Please no jeans, party dresses or clothing with buckles, snaps, zippers, or jewelry. Long hair should be tied back. Bare feet are recommended.