Registration

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Event:

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End Date/Time:

Fee per Family:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:*	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	School:	Grade Level:
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Primary Doctor:

Questions/Options:


Participant's Name
Participant's Age
Participant's Gymnastics Experience

Additional Information:

Athlete Medical Evaluation Form

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I've read the above and agree.

Athlete Membership Agreement

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USA GYMNASTICS (THE GOVERNING BODY FOR GYMNASTICS IN THE UNITED STATES) SUGGESTS THAT ALL ATHLETIC FACILITIES REQUIRE AN ATHLETE MEMBERSHIP AGREEMENT FORM FOR EACH PARTICIPANT. THEREFORE, WE REQUIRE EACH STUDENT TO HAVE A SIGNED FORM ON FILE PRIOR TO THE START OF THE FIRST CLASS. (PLEASE READ THE FOLLOWING CAREFULLY AND CLICK "I AGREE" BELOW. NOTE: PARENT AGREES IF STUDENT IS UNDER 18) AGREEMENT IN CONSIDERATION OF MY PARTICIPATION IN RISING STARS GYMNASTICS INC DBA KIDS CHOICE SPORTS, DANCE, AND FITNESS CLASSES, EVENTS, AND ACTIVITIES, I AGREE TO BE BOUND BY EACH OF THE FOLLOWING: 1. ELIGIBILITY: I AGREE TO COMPLY WITH THE RULES OF KIDS CHOICE SPORTS, DANCE, AND FITNESS. 2. READINESS TO PARTICIPATE: I WILL ONLY PARTICIPATE IN THOSE KIDS CHOICE SPORTS, DANCE, AND FITNESS CLASSES, EVENTS, COMPETITIONS, AND ACTIVITIES FOR WHICH I BELIEVE I AM PHYSICALLY AND PSYCHOLOGICALLY PREPARED. I WILL ONLY PERFORM THOSE EXERCISES BY MYSELF IN WHICH I FEEL CONFIDENT TO DO SO. 3. AS STATED IN THE ACKNOWLEDGEMENT OF RISK, I AM AWARE OF THE RISKS INVOLVED IN ACTIVITIES CONDUCTED AT KIDS CHOICE SPORTS, DANCE, AND FITNESS AND I AGREE THAT KIDS CHOICE SPORTS, DANCE, AND FITNESS AND THE SPONSOR OF ANY KIDS CHOICE SPORTS, DANCE, AND FITNESS EVENT, ALONG WITH THE EMPLOYEES, AGENTS, OFFICERS, AND DIRECTORS OF THESE ORGANIZATIONS SHALL NOT BE LIABLE FOR ANY LOSSES OR DAMAGES OCCURRING AS A RESULT OF MY PARTICIPATION IN THE EVENT. 4. IN THE EVENT THAT I, OR ANYONE ELSE ON BEHALF OF MYSELF, MY CHILD/CHILDREN, BRING SUIT AGAINST KIDS CHOICE SPORTS, DANCE, AND FITNESS ALONG WITH THE EMPLOYEES, AGENTS, OFFICERS, AND DIRECTORS OF KIDS CHOICE SPORTS, DANCE, AND FITNESS AND SAID SUIT DOES NOT RESULT IN JUDGEMENT AGAINST KIDS CHOICE SPORTS, DANCE, AND FITNESS ALONG WITH THE EMPLOYEES, AGENTS, OFFICERS, AND DIRECTORS OF KIDS CHOICE SPORTS, DANCE, AND FITNESS, I HEREBY AGREE TO BE LIABLE FOR ALL ATTORNEYS FEES AND COSTS INCURRED BY KIDS CHOICE SPORTS, DANCE, AND FITNESS ALONG WITH THE EMPLOYEES, AGENTS, OFFICERS, AND DIRECTORS OF KIDS CHOICE SPORTS, DANCE, AND FITNESS, AS A RESULT OF SAID LAWSUIT.

I've read the above and agree.

Acknowledgement of Risk

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NOTICE TO MINOR CHILD'S NATURAL GUARDIAN USA GYMNASTICS (THE GOVERNING BODY FOR GYMNASTICS IN THE UNITED STATES) SUGGESTS THAT ALL ATHLETIC FACILITIES REQUIRE AN ACKNOWLEDGEMENT OF RISK FORM FOR EACH PARTICIPANT. THEREFORE, WE REQUIRE EACH STUDENT TO HAVE A SIGNED FORM ON FILE PRIOR TO THE START OF THE FIRST CLASS.
I AM AWARE THAT PARTICIPATION IN ANY ACTIVITY AT RISING STARS GYMNASTICS INC DBA KIDS CHOICE SPORTS, DANCE, AND FITNESS CAN INVOLVE MANY RISKS OF INJURY. I UNDERSTAND THAT THE DANGERS AND RISKS OF PARTICIPATION INCLUDE, BUT ARE NOT LIMITED TO, SERIOUS INJURY TO ANY PART OF THE BODY AND CAN RESULT IN LONG LASTING OR PERMANENT DAMAGE OR EVEN DEATH. I HAVE READ THIS FORM COMPLETELY AND CAREFULLY. I AM AGREEING TO LET MY MINOR CHILD(REN) ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. I AM AGREEING THAT, EVEN IF RISING STARS GYMNASTICS INC DBA KIDS CHOICE SPORTS, DANCE, AND FITNESS USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE MY CHILD(REN) MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM I AM GIVING UP MY CHILD(REN)'S RIGHT AND MY RIGHT TO RECOVER FROM RISING STARS GYMNASTICS INC DBA KIDS CHOICE SPORTS, DANCE, AND FITNESS IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO MY CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY.

I further acknowledge, understand, appreciate and agree that my participation may result in possible exposure to and illness from infectious diseases, including, but not limited to, MRSA, Influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases or others, and assume full responsibility for my participation and exposure. I UNDERSTAND THAT THIS IS A SPORTS FACILITY AND UNEVEN SURFACES ARE INHERENT TO SUCH FACILITIES. IF, AT ANY TIME, I AM PERMITTED TO ENTER ANY OF THE SPORTS AREAS I WILL ENTER AT MY OWN RISK AND I WILL WATCH FOR SUCH UNEVEN SURFACES. I FURTHER UNDERSTAND THAT KIDS CHOICE SPORTS, DANCE AND FITNESS DOES NOT PERMIT ADULTS OR NON-ENROLLED PARTICIPANTS TO BE ON OR UTILIZE ANY SPORTS EQUIPMENT OR MATS AND THAT ENROLLED OR BIRTHDAY PARTY PARTICIPANTS ARE REQUIRED TO HAVE STAFF SUPERVISION. BY CLICKING "I AGREE" BELOW, YOU ACKNOWLEDGE THAT YOU HAVE READ AND UNDERSTAND THE RISKS INVOLVED IN PARTICIPATION OF ACTIVITIES KIDS CHOICE SPORTS, DANCE, AND FITNESS. IF THE PARTICIPANT IS MY CHILD I WILL MAKE SURE THAT MY CHILD HAS BEEN INFORMED.

I've read the above and agree.

Additional Enrollment

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