Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
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:
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.
Dress Code
For the safety of your child please be sure they are wearing flexible clothing absent of hoods, skirts, snaps, buttons, and zippers. Please no jewelry, dresses, baggy/loose clothes or mid drift shirts. All hair must be secured up and away from face with out hard pieces. Bare feet will be required.
I've read the above and agree.
AVOID: Running, Stunting, Spotting other students, Chasing or Hiding games, Moving equipment.

FOLLOW: Dress Code, Keeping their Hands & Feet to themselves, ALWAYS land on their feet, ONE person as a time on the trampoline, Practicing skills they can do on their own, No food or drink in the gym.

I've read the above and agree.
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