Registration

Registration

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High School Sunday Training Camp Registration Form Welcome to our HIGH SCHOOL CAMP! This is a 4 hour intensive class for those high school athletes wanting an intensive, well-rounded training experience. Space is limited. Non-refundable payment due at time of registration. Members and non-members welcome! *Applicable discounts will be applied prior to billing.

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

Add New Student #1:

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Questions/Options:


Are you currently enrolled in a high school training class at Gym World or Gym World Twinsburg?*
What High School does your gymnast attend?*
What USAG Xcel Level or Numeric Level would best describe your athlete?*

Additional Information:

Customer Agreement

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I've read the above and agree.

Waiver of Liability

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I've read the above and agree.

Agent Authorization and Indemnification

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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 agree to release and discharge Gymnastics World Inc. from any liability for any claim for loss of consortium, wrongful death, negligence, negligent infliction of emotional distress, damage to property or any other claim of any kind, that may arise out of any injury, mishap, or event on or about the Gymnastics World Inc. facilities or occurring in connection with any activity or program of Gymnastics World Inc., its affiliated entities, respective officers, directors, shareholders, employees, contractors, and volunteers. I AGREE TO INDEMNIFY GYMNASTICS WORLD INC. AGAINST ANY CLAIM brought by my spouse/partner or my child(ren), my child(ren)'s guardian(s), and 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, for loss of consortium, wrongful death, negligence, negligent infliction of emotional distress, damage to property or any other claim of any kind, that may arise out of any injury, mishap, or event on or about the Gymnastics World Inc. facilities or occurring in connection with any activity or program of Gymnastics World Inc., its affiliated entities, respective officers, directors, shareholders, employees, contractors, and volunteers. I shall not permit any person who has not read, understood and agreed to the terms of this waiver to supervise my child(ren) on or about, or transport my child(ren) to or from, the Gymnastics World Inc. facilities or any activity or program of Gymnastics World Inc., its affiliated entities, respective officers, directors, shareholders, employees, contractors, and volunteers.

I've read the above and agree.

Consideration

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I've read the above and agree.

Medical Authorization

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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:*