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Contortion for Hyperflexible Youth
Improve your flexibility through a specially designed curriculum that emphasizes the foundation of contortion training including:
- leg flexibility- active and corrective stretching exercises
- back flexibility including back bends
- balancing and stability- vital for strength and injury prevention
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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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Assumption of Risk
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I assume any and all risk of injury (serious or otherwise) for me or my child. I further agree that if someone else is harmed through my child’s actions and blames the gym/venue, its owners, or its employees, for his harm, I will indemnify, defend, and old harmless the gym/venue, its owners, or its employees.
I've read the above and agree.
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Hold Harmless
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I agree to release, hold harmless, and indemnify Caroline Calouche & Co. / Charlotte Cirque & Dance Center its owners and its employees from any and all harm. Further, I agree that if any lawsuit is filed against the Caroline Calouche & Co. / Charlotte Cirque & Dance Center its owners, or its employees, on account of my injuries, my child’s injuries or my child’s injuries to another on account of my child’s actions, I will defend, indemnify, and hold harmless Caroline Calouche & Co. / Charlotte Cirque & Dance Center its owners and its employees.
I've read the above and agree.
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Release of Liability
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I agree that Caroline Calouche & Co. / Charlotte Cirque & Dance Center its owners, officers, directors, employees, successors and agents shall not be liable for any harm my child may come to while on the premises of any educational programming, or for damage to their property. I hereby release, indemnify, and discharge Caroline Calouche & Co. / Charlotte Cirque & Dance Center on behalf of myself and/or my children, from any and all claims, demands, or causes of action, which are in anyway connected with my participation in this activity or my use of their equipment or facilities (except for gross negligence or willful misconduct).
I've read the above and agree.
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Illness
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I acknowledge that it is my responsibility as the participant or the parent/caregiver to make sure I am not bringing any person (my child, sibling, myself) into the facility with any symptoms of any illness. I understand that if any CC&DC staff member feels that any customer is showing signs of illness, they will be asked to leave the building immediately.
I've read the above and agree.
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Media Release
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I give my permission for photos and videos of me and/or my child(ren) to be used for marketing purposes.
I've read the above and agree.
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Right to Refuse Service
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I understand that Caroline Calouche & Co. /Charlotte Cirque & Dance Center reserve the right to refuse or terminate service to me or my child for any reason not discriminatory, at any time.
I've read the above and agree.
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Safety Rules
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I or my child have read the safety rules of Caroline Calouche & Co. / Charlotte Cirque & Dance Center and agree to abide by them. I or my child is in good health and has no physical or mental limitations that would preclude them from careful and reasonably safe use of the gym/venue. I will comply with ALL rules both written and verbally stated to me by the Dance & Cirque Staff Caroline Calouche & Co. /Charlotte Cirque & Dance Center.
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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Zip:*
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(9-digit number)
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(Your name on your bank statement)
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Account Number:
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