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Back Handspring / Back Tuck Clinic - Friday, March 14th from 6:30-8:00pm. $40 for members and $45 for non-members. Must be able to do a back bend kickover in order to attend.
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Emergency Contact Info
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9th grade
Adult
college
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10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
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Student's First Name:
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Student Gender:
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Female
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Birth Date:
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Student Email:
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Birth Date:
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(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
college-freshman
college-junior
college-senior
college-sophomore
kindergarten
pre-K
preschool
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
Additional Information:
Payments
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I understand that the fee for $40 for members and $45 for non-members will be run at the time of enrollment.
I've read the above and agree.
Pre-requisites for Clinic
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I understand that my athlete MUST have a back bend kickover in order to attend this clinic.
I've read the above and agree.
Medical Release Agreement
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I hereby consent for my child to participate in the programs offered by Ark WinGS Gym. I acknowledge and recognize that the sport of gymnastics and tumbling have potential for severe injuries, including sprains, strains, broken bones, or life-threatening injuries during their camp. I UNDERSTAND AND ACCEPT THAT RISK. I also acknowledge and realize that my child will be training on all gymnastics equipment, floors, and other training devices like the trampoline. I understand and accept that my child will follow all the safety rules and coaches’ instructions in the gym.
I hereby release Ark WinGS Gym coaching and administrative staff from all liability for any and all damage and injuries suffered by myself/my child while under the instruction, supervision, or control of Ark WinGS Gym. I fully understand that Ark WinGS Gym staff is not medical practitioners of any kind. I give permission for Ark WinGS Gym staff to render any temporary first aid to my child in the event of any illness or injuries at the gym and to call a doctor or ambulance if deemed necessary at the time.
Photography and Appearance Clause
I give Ark WinGS Gym permission to use my child’s picture in social media advertising and/or advertising in literature or media for Ark WinGS Gym. This includes photography for events at Ark WinGS Gym and events sponsored and conducted by us. I have read and agree to the above risk and liability release and photography and appearance clause.
I've read the above and agree.
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