Registration
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Kids will enjoy 3 hours of gym time, free play, games, activities, movies and even a pizza dinner.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
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- denotes required fields
Family Information
First Name:
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Last Name:
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Type
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Caregiver
Father
Guardian
Mother
Parent
Self
Home Phone:
Cell #:
Work #:
Email:
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(Emails are kept confidential)
Address:
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City:
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State:
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AK
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AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
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KS
KY
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MA
MD
ME
MI
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Zip:
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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:
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Last Name:
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Birth Date:
*
(format=mm/dd/yyyy)
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Additional Information:
MEDICAL TREATMENT
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In the event of an accident, or medical/dental emergency, I hereby authorize International Elite, LLC, and its representatives, to provide first aid to my child to the extent they deem appropriate. I further authorize International Elite, LLC, to arrange transportation, via personal vehicle, or ambulance, to a hospital, or urgent care center, as they see fit. Additionally, I hereby agree to assume all responsibility of payment for all medical expenses, including transportation, which may be incurred for any required treatment resulting from an injury sustained while participating in activities at, or for International Elite, LLC, including any future medical expenses related to such injury.
I've read the above and agree.
ACKNOWLEDGEMENT OF RISK
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As the parent and/or legal guardian of the participant named on this document, I recognize the risks associated with the sport of gymnastics, which include, but are not limited to activities of height and motion, tumbling, dance and stunting. I also acknowledge my child will be performing and training on various training devices. I certify that I have consulted a physician, to the extent I deem appropriate, as it relates to participation in these activities. I attest that my child is medically fit to participate in all activities associated with International Elite, LLC. Furthermore, International Elite, LLC, is not responsible for any injury (or loss of property) to any person while practicing, training, taking class, competing, participating in open gym, special events, demonstrations or shows, or in any other way involved in gymnastics, cheerleading, or teams (the “activity”) at International Elite, LLC for any reason whatsoever.
I've read the above and agree.
INFECTIOUS DISEASE DISCLAIMER
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An inherent risk of exposure to viruses exist in any public place where people are present. Viruses and other contagious diseases can lead to severe illness or worsening outcomes. By participating in group activities at International Elite, LLC, you voluntarily assume and acknowledge all risks associated with exposure to illness and infectious disease. This includes, but is not limited to COVID-19.
I've read the above and agree.
CONSENT
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I consent to my/minor’s participation in the activity and acknowledge that I fully understand my/minor’s participation may involve risk of serious injury, illness, or death, including losses which may result not only from my/minor’s own actions, inactions or negligence, but also from the actions, inactions, or negligence of others, the condition of the facilities, equipment, or areas where the activity is being conducted, and/or the rules of play of this type of activity. I understand that if I have any risk concerns, I shall discuss them completely with the staff before I sign this agreement and before my/minor’s participation in the activity begins.
I've read the above and agree.
PHOTO & VIDEO RELEASE
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I grant consent for my/minor’s picture to be taken or to be filmed while participating in activities at, or for International Elite, LLC. I authorize International Elite, LLC, to use and publish images, photographs, pictures, portraits, and audio, video and/or film footage of me/minor in all forms of media and in all manner for publication including, but not limited to, advertising and marketing campaigns, press releases, periodicals, and website use. I hereby waive any right I may have to review, inspect, edit or approve such publication and I release International Elite, LLC, from any claims I may have against it for use of such images, photographs, pictures, portraits, and audio, video and/or film footage of me. This photo and video release extends to the parent/sister organizations, USAG, Region 7 and R7AU.
I've read the above and agree.
WAIVER AND RELEASE
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In consideration for my/minor’s participation in the activity, I hereby waive all claims or causes of action, including ordinary negligence, against International Elite, LLC, its managers and members, and any of their employees, teachers, coaches, or agents, arising out of my/minor’s participation in the activity wherever, whenever or however the same may occur.
I've read the above and agree.
FINAL
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I understand that this waiver is intended to be as broad and as inclusive as permitted by the laws of the State of Maryland and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. I further agree that the venue for any legal proceedings shall be within the State of Maryland.
I've read the above and agree.
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Exp Year:
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Address Line 1:
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City:
State:
AK
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AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
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TN
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UT
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Zip:
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