Registration

Registration

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**Adults must wear a mask. Everyone's temperature will be taken upon entering the gym. Only one adult per child. Very limited space. Must sign up online.**

Tumble Bear Open Gym is 2 Fridays a month, 6:30 am-7:30pm $10 per child (non-refundable).
For boys and girls ages 18 months to 4 years. Will be held in the small gym upstairs. Max 10 kids.
Wear your pajamas or comfortable gym clothing.
Tumble Bears Open Gym gives your child the opportunity to experience the benefits of the amazing facilities at Powerhouse. Your child will develop physically and emotionally and burn off energy playing in our gymnastics facility. This is a fun and affordable way to see if our classes will be right for your child. Come check out what Powerhouse has to offer!
Fee will be run at time of sign up. No refunds.

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: *
	Emergency Contact Info*

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

Questions/Options:


Please list names of any non-participants. (Any one, including infants, not participating but will be inside the small gym upstairs.)
Are you redeeming any FREE TUMBLE BEAR OPEN GYM PASS ? (Must turn in at time of sign in. If not turned in, the full price of open gym will be charge.)*
If yes, what kind? (EI Birthday card, fully punched loyalty card, Free Open Gym Pass)
Questions or Comments

Additional Information:

Basics to Remember:

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Payment Agreement

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Disclaimer/Waiver

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(Read Carefully Before Signing)

I, Parent/Guardian, on behalf of myself and my child understand that by signing this document I, individually, and on behalf of my child, assume all risks for any harm, injury, or damage that may befall my child as a result of, or in connection with, participation at Powerhouse TNT Gymnastics, whether foreseen or unforeseen, and I that still wish my child to participate in said.

I hereby affirm that I understand that gymnastics is an inherently dangerous activity, and that I am aware of the risks associated in participating in such activates. I am aware that any activity involving motion or height creates the possibility of serious injury, including permanent paralysis, and even death from landing or falling on the head, neck or any other body part, and nonetheless agree to proceed with such activities. I give my child my express consent and permission to participate in any and all activities at Powerhouse TNT Gymnastics. I further understand that Powerhouse TNT Gymnastics is not a childcare facility, and participation in any activity is purely voluntary. I also understand that Powerhouse TNT Gymnastics is not my insurer, nor my child’s insurer. I understand that it is my responsibility, not that of Powerhouse TNT Gymnastics, to pay any medical bills resulting from injury, or to otherwise cover my child’s damages from any injury.

I understand that by signing this document I, individually and on behalf of my child, assume all risk in connection with said activity for any harm, injury, or damage that may befall my child as a result of participation at Powerhouse TNT Gymnastics, whether foreseen or unforeseen, and I still wish to proceed.

I understand and agree that Powerhouse TNT Gymnastics may NOT be held liable in any way for any occurrence that may result in injury, death, or other damages to my child, me, or my family, heirs, or assigns, and, in consideration of being allowed to enroll in gymnastics activities, I, individually, and on behalf of my child, hereby personally assume all risks in connection with said activities, for any harm, injury, or damage that may befall me or my child while enrolled in gymnastics, including all risks connected with said, whether foreseen or unforeseen; and further to save and hold harmless Powerhouse TNT Gymnastics, and any persons employed by said, from any claim by me, or my child, family, estate, heirs, or assigns, arising out of my child’s enrollment and participation in gymnastics. I also understand that Powerhouse TNT Gymnastics Inc. is not a child care facility.

I DO HEREBY, ON BEHALF OF MYSELF AND MY CHILD, EXEMPT, RELEASE, AND INDEMNIFY POWERHOUSE TNT GYMNASTICS, IT’S TEACHERS, EMPLOYEES, STAFF, GYM, AND ANY AND ALL AFFILIATES THEREOF, FROM ALL LIABILITY WHATSOEVER FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH CAUSED BY ANY NEGLIGENCE (INCLUDING NEGLIGENCE PER SE AND GROSS NEGLIGENCE), INCLUDING IT’S OWN NEGLIGENCE, AS WELL AS ANY INTENTIONAL TORTS, AND FOR ANY AND ALL INJURIES SUSTAINED BY ITS EMPLOYEES. IN THIS REGARD, I ALSO AGREE TO INDEMNIFY POWERHOUSE TNT GYMNASTICS FROM ANY LAWSUIT OR CLAIM MADE AGAINST IT, SHOULD IT RELATE TO DAMAGES SUFFERED BY ME OR MY CHILD, OR AN INJURY CAUSED BY MY CHILD, INCLUDING COSTS OF DEFENSE, AND THE AMOUNT OF ANY SETTLEMENT OR JUDGMENT, INCLUDING PRE- AND POST- JUDGMENT INTEREST.

I further state that I am of lawful age and legally competent to sign this affirmation, indemnification, and release, and am the parent or legal guardian of said child; that I understand the terms herein are contractual and not mere recitals; and that I have signed this document of my own free act, which I have also read.

I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS AFFIRMATION AND RELEASE BY READING IT BEFORE I SIGNED

I've read the above and agree.

Audio and Image Consent

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Check In Procedures

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Enter your Full Name:

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Other Questions/Comments:

Credit Card Verification:

Card Number: *

Name as it appears on card: *

Nickname:

Card Expiration Month: *

Exp Year: *

Address Line 1:

Address Line 2:

City:

State: Zip:*