Child Party Waiver

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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: _________________________________________________________________

 

Address: _____________________________________________________________________________

                                 street                                                       city                                           state + zip code

 

Home Phone: ______________________________    Cell. Phone: ______________________________

 

Emergency Contact: ____________________________________________________________________

                                    name                                                                          phone

 

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.