Registration

Registration

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$10.00 for members. $15.00 for non-members. Cash only, please due at time of visit. Open Gym is supervised use of the gym for athletes ages 6-18. We reserve the right to ask any participant to halt activity if staff deems activities unsafe or possibly harmful.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

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

Students entered below will be added to your family's account

Additional Information:

Waiver of Liability

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I've read the above and agree.

Agent Authorization and Indemnification

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I have authority to act on behalf of my spouse/partner or my child's guardian(s) or anyone having temporary supervision or custody over my child(ren), including but not limited to my or my child's relatives by affinity or blood, or persons employed to supervise my child such as a babysitter, and all such persons have read and understood this waiver, have agreed to its terms, and agree to release and discharge Gymnastics World Inc., DBA Gymnastics World of Twinsburg from any liability for any claim for loss of consortium, wrongful death, negligence, negligent infliction of emotional distress, damage to property or any other claim, that may arise out of any injury, mishap, or event on or about the Gymnastics World Inc., DBA Gymnastics World of Twinsburg facilities or occurring in connection with any activity or program of Gymnastics World Inc., DBA Gymnastics World of Twinsburg its affiliated entities, respective officers, directors, shareholders, employees, contractors, and volunteers. I AGREE TO INDEMNIFY GYMNASTICS WORLD INC., DBA GYMNASTICS WORLD OF TWINSBURG AGAINST ANY CLAIM brought by my spouse/partner or my child(ren), my child(ren)'s guardian(s), and anyone having temporary supervision or custody over my child(ren), including but not limited to my or my child's relatives by affinity or blood, or persons employed to supervise my child such as a babysitter, for loss of consortium, wrongful death, negligence, negligent infliction of emotional distress, damage to property or any other claim, that may arise out of any injury, mishap, or event on or about the Gymnastics World Inc., DBA Gymnastics World of Twinsburg facilities or occurring in connection with any activity or program of Gymnastics World Inc., DBA Gymnastics World of Twinsburg, its affiliated entities, respective officers, directors, shareholders, employees, contractors, and volunteers. I shall not permit any person who has not read, understood and agreed to the terms of this waiver to supervise my child(ren) on or about, or transport my child(ren) to or from, the Gymnastics World Inc., DBA Gymnastics World of Twinsburg facilities or any activity or program of Gymnastics World Inc., DBA Gymnastics World of Twinsburg, its affiliated entities, respective officers, directors, shareholders, employees, contractors, and volunteers.

I've read the above and agree.

Consideration

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I've read the above and agree.

Medical Authorization

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I've read the above and agree.

Athlete safety agreement

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I've read the above and agree.

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