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5 Punches for $25 for Open Gyms!!
Maximum purchase is 3 Punchards per family.
Following your order for the punch cards, your credit card will be charged.
Physical card may be picked up at the gym and must be presented each time student is going to participate.
Cards expire 4-30-25.
Open gyms are on Friday evenings and Saturdays - check the website for times.
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End Date/Time:
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Fee per Student:
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Room:
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* - denotes required fields |
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Family Information |
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Students entered below will be added to your family's account
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Add New Student #1:
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Add New Student #2:
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Add New Student #3:
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Add New Student #4:
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Add New Student #5:
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Additional Information: |
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Assumption of Risk
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Assumption of Risk In this regard, I for myself, and on the behalf of my heirs, assigns, personal representatives, and next of kin, by my signature here, hereby acknowledge and agree that the Activities involve inherent risk of Damage, and hereby assume and accept, on behalf of the Participant and anyone whom might claim by, under or through the Participant, all risk of Damage to the Participant arising out of the Activities.
I've read the above and agree.
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Release of Liability
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By my execution of the Waiver and Release, Power & Grace and its employees, agents, officers, directors, affiliated companies and event sponsors are hereby RELEASED AND FOREVER DISCHARGED from any and all claims, losses, liabilities, causes of action, judgments, fines, penalties, right to payment, costs and expenses incurred in connection with any type of Damage arising out of one or more of the Activities. I understand that I am responsible for any costs incurred that are not covered by my insurance.
I've read the above and agree.
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Authorization for Medical Care
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Power & Grace, its agents, representatives and employees are hereby authorized, but not required, to:
1. Render first aid emergency treatment of the Participant; and
2. Seek medical help including, but not limited to, transporting the Participant to a health care facility or hospital of Power & Grace's choice; or
3. Call an ambulance.
In the event of an emergency, I by my signature below, hereby authorize Power & Grace, its agents, representatives and employees to admit the Participant to a health care facility or hospital for treatment of the Participant.
I've read the above and agree.
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General
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I understand and agree that this Waiver and Release is intended to be as broad and inclusive as permitted by the laws of the State of South Dakota and agree that if any portion is held invalid and unenforceable, the remainder of this Waiver and Release will continue in full force and effect. I further agree that this Waiver and Release shall be determined and settle by arbitration held in Sioux Falls, Minnehaha County, South Dakota, in accordance with the rules of the American Arbitration Association. Any award rendered thereunder shall be final and binding upon all parties and judgment may be entered thereon in any court having jurisdiction. Any advance costs arising from a party's notice to proceed to arbitration shall in the first instance be borne by the party initiating the arbitration, subject to final allocation by the arbitrator. The choice of arbitrator shall be made by the American Arbitration Association and shall be final. Arbitration proceedings may be requested by either party hereto, and either party shall and hereby agrees to, take prompt measures to bring the matter or matters in controversy to arbitration and determination.
I've read the above and agree.
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Image Release
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I authorize Power & Grace to use any image/video of myself or my child(ren) for any lawful purpose such as publicity, advertising, illustrative purposes and web content.
I've read the above and agree.
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Other Questions/Comments: |
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Credit Card Verification: |
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Card Number: * |
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Name as it appears on card: * |
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Nickname:
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Card Expiration Month: * |
Exp Year: *
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Address Line 1:
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Address Line 2:
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City:
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State:
Zip:*
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