Registration
Come join us for our Book-n-Bounce! A fun, book themed, event that will have your child listening to a story, jumping, bouncing, climbing and crafting through an amazing adventure! $10 for the first child and only $5 for siblings! (Parent/care giver participation is required.)
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:
 
WAIVER OF LIABILITY
-- I HEREBY RELEASE, DISCHARGE AND HOLD HARMLESS GYMNASTICS WORLD INC. FROM ANY AND ALL LIABILITY FOR LOSS OR INJURY, including death, or damages to persons or property sustained by me or my child(ren) while on or about the Gymnastics World Inc., facilities or in connection with any activity or program of Gymnastics World Inc. including but not limited t
I've read the above and agree.
 
AGENT AUTHORIZATION AND INDEMNIFICATION
--I have authority to act on behalf of my spouse/partner or my child's guardian(s) or anyone having temporary supervision or custody over my child(ren), including but not limited to my or my child's relatives by affinity or blood, or persons employed to supervise my child such as a babysitter, and all such persons have read and understood this waiver, have agreed to its terms, and
I've read the above and agree.
 
CONSIDERATION
-- I recognize that this agreement allows Gymnastics World Inc to offer affordable recreation and to continue to do so without the risks and overwhelming costs of litigation. This is part of the valuable consideration for which I, my child(ren) and/or my spouse/partner, or my child(ren)'s guardian or anyone having temporary supervision or custody over my child(ren), including but not
I've read the above and agree.
 
MEDICAL AUTHORIZATIION
-- In the event of an accident or emergency I and/or my spouse/partner or my child(ren)'s guardian hereby authorize my child(ren) to be transported to a hospital for medical treatment and I and/or my spouse/partner or my child(ren)'s guardian hold Gymnastics World, Inc and their representatives harmless in the execution of such. Additionally, I and/or my spouse/partner or my child(ren)'s
I've read the above and agree.
 
PHOTO RELEASE
--I am aware that individual and group publicity photos and videos are taken from time to time and in consideration for my or my child(ren)'s participation I hereby grant my permission and/or my spouse/partner or my child(ren) guardian's permission for my child(ren)'s likeness to be used in Gymnastics World, Inc., and affiliated entities, programs and activities, publicity or advertising
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: