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Room:
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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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Add New Student #1:
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Add New Student #2:
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Add New Student #3:
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Additional Information: |
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PARTICIPATION CONSENT
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I realize that participation in gymnastics or related activities is not risk-free, and that the possibility of serious or catastrophic injury from participant is possible. Understanding this, I agree to grant permission for my child to participate in activities at Louisiana Gymnastics Club.
I've read the above and agree.
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MEDICAL RELEASE
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I hereby grant permission for the staff of Louisiana Gymnastics Club to render a judgment on the needs of my child and to seek immediate treatment, if necessary, in the event of my absence or inability to grant permission. I, myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, do hereby release and hold harmless, Louisiana Gymnastics Club, LLC, its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, owners and lessors of the premises used to conduct the programs, events or activities, with respect to any and all injury, disability, death or loss or damage to person or property incident to my child’s involvement or participation in these programs to fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND IITS TERMS, UNDERSTAND THAT I WAIVE SUBSTANTIALRIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT. Having read and agreeing to the above, I give my permission for my child to participate in classes and/or special events at Louisiana Gymnastics Club.
I've read the above and agree.
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PHOTO RELEASE
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I agree that my child can be photographed or videoed by Louisiana Gymnastics Club and its representatives, including employees, coaches, judges, assistants and parents of other gymnasts, during classes or at gymnastic meets. I further grant Louisiana Gymnastics Club permission to use the photographs and videos for commercial purposes in Louisiana Gymnastics Club advertisements, promotions, brochures, internet web site (www.lagymclub.com), or on social media such as Facebook, Instagram and YouTube. Our goal is to not only promote Louisiana Gymnastics Club as a business but also those gymnasts that have aspirations to go to the next level. Photographs and videos will be used selectively and in a professional and tactful manner to build and grow the competition team, give gymnasts acknowledgment and recognition, document their progress, and record memories.
I've read the above and agree.
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PAYMENT
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$250/child due at the time of registration.
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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Address Line 1:
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Address Line 2:
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City:
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State:
Zip:*
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