Registration

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This event is for children 4 1/2 years old and older; students do not need to be members of Northeast to attend. Children will have a blast participating in toy story themed games, crafts, and snacking on pizza!

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	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

Questions/Options:


How old is the child attending?*
Does the attending student have any special needs we should be aware of?*
Is the child attending with a friend?*
Do you have an all-event pass that you will be using for this event?*

Additional Information:

Assumption of Risk

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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 Northeast Institute of Gymnastics, 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 Northeast Institute of Gymnastics or any agent, employee, representative or other acting on their behalf and to indemnify, defend and hold harmless Northeast Institute of Gymnastics 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 Northeast Institute of Gymnastics. It is also my intent to release discharge, covenant not to sue Northeast Institute of Gymnastics it's respective administrators, directors, agents, officers, volunteers, and employees and if applicable, owners and lessors of premises on which the activity takes place from liability for ordinary or grossly 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 gross agreement shall remain valid and maintain its full force and effect. This acknowledgment of risk and release 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 and will not be on the equipment I may injure myself being in the gym, or outside the building in the parking lot. I take full responsibility for my actions and agree to pay for any and all medical bills that might arise from an accident at Northeast Institute of Gymnastics. This could include but is not limited to stepping off uneven mats and twisting an ankle, broken bones, torn ligaments, spine injuries, or even death.

I've read the above and agree.

Payment Policy

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Photo Release

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Enter your Full Name: