Registration
Open gym time, games, pizza dinner, movie and popcorn Dress code enforced - comfortable clothes with no buttons, zippers, snaps or hoods. See our website for further details: GYMSTARSETC.com Member discount will be applied after registration is received.
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
 
Additional Information:
 
Release
ASSUMPTION OF RISK: I recognize that severe injuries, including permanent paralysis or death can occur in sports or activities involving height or motion, those activities including but not limited to gymnastics, tumbling, trampoline and Ninja Zone. Being fully aware of these dangers, I hereby give consent for me and my child(ren) to participate in any and all T & C Gymnastics LLC, dba Gym Stars ETC, Ninja Zone and affiliated entities, programs and activities and I ACCEPT ALL RISKS associated with such participation.

RELEASE OF LIABILITY: In consideration for me and my child(ren)'s participation I hereby, for myself and my child(ren) and our respective heirs and successors, PROMISE NOT TO SUE and FOREVER RELEASE Gym Stars ETC and Ninja Zone, their respective officers, directors, shareholders, employees, contractors and volunteers from all liability resulting from damages or injuries incurred as a result of participation including those resulting from acts of negligence.

MEDICAL EMERGENCIES: In the event of an accident or emergency I hereby authorize for myself and my child(ren) to be transported to a hospital for medical treatment and I hold Gym Stars ETC, Ninja Zone and their representatives harmless in the execution of such. Additionally, I hereby agree to individually provide for all medical expenses which may be incurred by me or my child(ren) as result of any injury sustained while participating at or for Gym Stars ETC and Ninja Zone.

PHOTO RELEASE: I am aware that individual and group publicity photos and videos are taken from time to time and in consideration for me and my child(ren)'s participation I hereby grant my permission for me and my child's likeness to be used in Gym Stars ETC and Ninja Zone publicity or advertising. Gym Stars ETC and Ninja Zone will not post personal information without permission.

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:*