Registration

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This is a 2.5-hour session focused on Flexibility, Bridges & Back bends. This is open to Members & Non- Members

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *

Students entered below will be added to your family's account

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Birth Date: *	(format=mm/dd/yyyy)
	School:	Grade Level:
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):

Questions/Options:


Does your child have any allergies or medical conditions we should be aware of? (Please provide details or write "None.")*
Is there anything specific your child is working on or needs extra support with during the clinic? (Feel free to share goals or areas of focus.) *
Does your child have any restrictions or limitations we should consider during physical activities? (Please provide details or write "None.")*
Who should we contact in case of an emergency? (Name, relationship, and phone number.)*

Additional Information:

Payment term

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I've read the above and agree.

Release of liability

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I, the undersigned participant (or parent/guardian if the participant is a minor), acknowledge and understand that participation in activities offered by Be Beyond Great Tumbling Studio, including but not limited to tumbling, gymnastics, and related exercises, entails inherent risks and hazards, which may result in injury, illness, or other physical harm. These risks may include, but are not limited to:

1. Physical Injuries: Participation in tumbling and gymnastics activities carries the risk of physical injuries, such as sprains, strains, fractures, and bruises, due to falls, collisions, or overexertion.

2. Medical Conditions:** I understand that my participation is contingent upon my physical health and ability to engage in these activities safely. I have consulted with a healthcare professional to ensure that I am in good physical condition and do not have any medical or health conditions that would prevent my participation. I am aware that any undisclosed medical conditions may increase my risk of injury.

3. Environmental Factors: Environmental conditions, such as the condition of the studio premises, equipment, and other participants, may contribute to the risks associated with these activities.

4. Inherent Nature of Activities:I understand that tumbling are physically demanding and may involve complex movements that require proper skill and technique. Any deviation from correct form or technique may increase the risk of injury.

By voluntarily participating in activities at Beyond Great Tumbling Studio, I acknowledge and accept these risks. I understand that these risks cannot be entirely eliminated, and I willingly assume full responsibility for any and all such risks that may arise during my participation in these activities.

I further acknowledge that it is my responsibility to follow the instructions provided by the studio's instructors and staff, including safety guidelines and recommendations. I agree to engage in these activities with the utmost care and attention to minimize the risk of injury to myself and others.

I have read and understand this "Assumption of Risk" section in its entirety and voluntarily agree to participate in the activities offered by Beyond Great Tumbling Studio with a clear understanding of the associated risks.

I've read the above and agree.

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