Registration
An awesome time for your preschool children to show off all the gymnastic skills they have learned. All currently enrolled SCGC preschool students are invited to participate in this exciting event where they will be the shining stars! Mom and dad can bring their cameras and grandma and grandpa can cheer their little gymnast on. Each participant will receive a medal! Team performances, Open Gym Time, plenty of photo opportunities, and loads of fun for all! Saturday 1:30pm-3:00pm Cost is $10 per student. Sign up early as space is limited! Register online at scgym.com or call our office at (831) 462-0655. Must Pre-Register.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Relation to Gymnast*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info (Other than Parents )*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
CHILD'S NAME
CHILD'S BIRTHDATE
CHILD'S AGE
Name of Class child is enrolled in
 
Additional Information:
 
ASSUMPTION OF RISK
As the legal guardian of the persons listed herein, I recognize that potentially severe injuries, including but not limited to permanent paralysis or death can occur in sports or activities involving height or motion, including but not limited to gymnastics, tumbling, trampoline, dance, and cheer-leading. Being fully aware of these dangers, I voluntarily consent to the aforementioned person(s) participating in any and all Santa Cruz Gymnastics Center, Inc. programs and activities and I ACCEPT ALL RISKS associated with that participation.
I've read the above and agree.
 
WAIVER OF LIABILITY
In consideration for allowing the herein mentioned person(s) to use these facilities, I, on my own behalf and the behalf of the herein mentioned person(s) and our respective heirs, administrators, executors, and successors, hereby COVENANT NOT TO SUE and FOREVER RELEASE Santa Cruz Gymnastics Center, Inc., it's officers, directors, shareholders, employees, or agents from all liability for any and all damages or injuries suffered by the herein mentioned person(s) while under the instruction, supervision, or control of Santa Cruz Gymnastics Center, Inc. including, without limitation, those damages or injuries resulting from acts of negligence on the part of its officers, directors, shareholders, employees, or agents.
I've read the above and agree.
 
MEDICAL AUTHORIZATION
In the event of an emergency I would like the herein mentioned person(s) to be taken to a hospital for medical treatment and I hold Santa Cruz Gymnastics Center, Inc. and it's representatives harmless in their execution of this action. Additionally, I hereby agree to individually provide for all possible future medical expenses which may be incurred by my child as a result of any injury sustained while participating at Santa Cruz Gymnastics Center, Inc.

I have read and understand this ASSUMPTION OF RISK and WAIVER OF LIABILITY and MEDICAL AUTHORIZATION and I VOLUNTARILY affix my name in agreement.

I've read the above and agree.
 
PUBLICITY WAIVER
As the legal guardian of the persons listed herein, I hereby consent to the use, by the SCGC Program, or anyone it authorizes, of any and all photographs, tapes, or other representations, and any reproductions thereof for the purposes of promotion (including sale, publication, display, and exhibition) without compensation. The member agrees that such materials and negatives shall constitute SCGC property, with full right of distribution.
I've read the above and agree.
 
Enter your Full Name: *   
 
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:*