Registration
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Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
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Family Information
First Name:
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Last Name:
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Type
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Father
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Mother
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Parent
Self
Step Father
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Home Phone:
Cell #:
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Email:
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(Emails are kept confidential)
Address:
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City:
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Zip:
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Emergency Contact Info
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Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
*
Last Name:
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Birth Date:
*
(format=mm/dd/yyyy)
School:
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
*
Add New Student #2:
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Student's First Name:
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Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
School:
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
*
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
School:
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
*
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
School:
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
*
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
School:
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
*
Questions/Options:
Are you a new member to SZ?
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What level of stunt experience do you have?
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Additional Information:
Payment Policies
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By enrolling via our online portal, you agree to authorize the charges associated with the specified and/or any registered class/activity and all other classes/activities that I have enrolled in. Please proceed to the payment section of the portal and process the given fees. If the fees are not paid, I understand they may be processed by our accounting department with your card on file. If payment for given class/activity is not received, or credit card is declined for any reason, the system will drop unpaid enrollment prior to the activity start date. I understand that if my account is not up-to-date that I may be asked to sit out of practice or class accordingly and not participate
I've read the above and agree.
Medical Emergencies
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I fully understand that Spirit Zone LLC staff members are not physicians or medical practitioners of any kind. With that in mind, I hereby release Spirit Zone LLC staff to render first aid to my child/ward in the event of any injury or illness, and if deemed necessary by the staff, to have authority, at my expense, in the event I cannot be reached, to seek medical help, including transportation whether paid or volunteer, to any health care facility or hospital, and if necessary, I authorize medical treatment. I verify that my child/ward has passed a medical examination within the last twelve months and is capable of participating in the activities of cheerleading, dance and gymnastics.
I've read the above and agree.
Assumption of Risk
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As legal guardian of the above registered student, I hereby give my consent for the aforementioned to participate in any and all cheerleading and/or dance activities/events held at Spirit Zone LLC or attended by Spirit Zone LLC . I understand by the vary nature of these activities/events, cheerleading, gymnastics and tumbling carry a risk of physical injury. No matter how careful the participant and coach(es) are, how many spotters are assisting, or what landing surface is used, the risk cannot be eliminated. The risk of injury includes but is not limited to, minor injuries as well as catastrophic injuries. I understand these risks and do hereby for myself and all others who might have a similar claim, waive, release, absolve, indemnify and forever discharge any and all rights and claims for injury which may arise now or in the future against Spirit Zone LCC or any of it's personnel for any and all damages which my child/ward may sustain, whether the result of negligence or for any other cause, while attending and participating in any activity/event that Spirit Zone LLC is a part of.
I've read the above and agree.
Release of Liability
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In consideration for allowing my child to participate in activities offered by Spirit Zone LLC , I, my heirs and assigns, next of kin, and all others acting on my behalf agree to waive any and all rights, claims, damages, actions, causes of action or suits of any kind or nature whatsoever which I have or my child has against Spirit Zone LLC or any agent, employee, representative or other acting on their behalf and to indemnify, defend and hold harmless Spirit Zone LLC or any agent, employee, representative or other acting on their behalf for any injuries suffered as a result of engaging in those activities offered by Spirit Zone LLC and any agent, employee, representative or other acting on their behalf from liability for ordinary or gross negligent conduct that may occur in the future and agree not to sue. Should any part or parts of this agreement be held null and void, the gross balance of the original agreement shall remain valid and maintain its full force and effect. This acknowledgment of risk and WAIVER OF LIABILITY has been read by me and understood completely and signed voluntarily. I am 18 years of age or older. By agreeing to this I understand that even though I am not taking gymnastics lessons and will not be on the equipment I may injure myself being in the gym. I take full responsibility for my actions and agree to pay for any and all medical bills that might arise from an accident at Spirit Zone LLC. This could include, but not limited to stepping off uneven mats and twisting an ankle, broken bones, torn ligaments, spine injuries or even death. This includes outside the building in the parking lot and all surrounding areas.
I've read the above and agree.
Non-Refundable
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I realize the fees paid and associated with all camps, clinics, classes, registration, tryouts, competitions and any other fees paid are non-refundable, regardless of attendance.
I've read the above and agree.
Covid-19 Release of Liability
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Participation includes possible exposure to and illness from infectious diseases including but not limited to COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and, 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/my child's participation; and I willingly agree to comply with the stated and customary terms and conditions for participation as regards to protection against infectious diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself and/or my child from participation and bring such to the attention of the nearest Spirit Zone staff member, immediately.
I've read the above and agree.
Medical Release Form
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I give my approval for the above-named student's participation in any and all activities of the SPIRIT ZONE programs. I hereby forever waive, and forever release and discharge Spirit Zone LLC, their officers, directors, employees, volunteers, and agents from all liability for any and all damages and injuries suffered by the participant in connection with said us of the aforementioned equipment, instructors, and facilities. As a student or parent or guardian of a student, I understand that it is my option to consult a physician for assurance of proper health and have been encouraged to do so by Spirit Zone LLC. I authorize the representatives of Spirit Zone LLC to provide any emergency medical services that may be required due to an injury during any gymnastics, tumbling, or cheer activity at or for Spirit Zone LLC. I understand that participation is entirely by my own choice and with the understanding that there are risks and the possibility of accidental injury, paralysis, and even death in any activity involving unusual motion or height. Spirit Zone LLC is not responsible, whatsoever, for anything that happens before or after the students designated gymnastic, tumbling, or cheer classes. I do hereby verify that I have read and understand and accept each of the above policies and conditions shown by my signature below.
I've read the above and agree.
Enter your Full Name:
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