|
Students entered below will be added to your family's account
|
|
(Show-Hide Details)
We, the undersigned, parents or legal guardians of the applicant, whose name appears below, recognize that there is a substantial risk of possible catastrophic injury and/or paralysis arising from the applicant's participation in the programs of Haydens International Gymnastics Academy. Therefore, in consideration of such applicants in the programs of Haydens International Gymnastics Academy, we do hereby agree to indemnify and hold harmless the said Haydens International Gymnastics Academy, its officers, instructors, employees, and respresentatives from any and all liability, loss, or damage. Including reasonable attorney's fees resulting from claims, cause of action, demands, cost of judgment against the said Haydens International Gymnastics Academy, its officers, instructors, and employees, without limitations. Any injuries, illness, or accident, to such applicant, arising from such applicant's participation in any way in any program, course of instruction, or travel with the said Haydens International Gymnastics Academy. We further expressly give a member of the Haydens International Gymnastics Academy staff the power to consent for medical treatment during an emergency situation for health and safety for my child, in the event that I/we cannot be immediately contacted. We also give prior consent to any taping, massaging, or icing that follows the Safe Sport guidelines that is performed in an open and/or witnessed area either by another staff member or by video.
I've read the above and agree.
|
|
|
Other Questions/Comments: |
|
|
Credit Card Verification: |
|
|
Card Number: * |
|
|
|
Name as it appears on card: * |
|
|
Card Expiration Month: * |
Exp Year: *
|
|
|
City:
|
State:
Zip:*
|
