Registration
USAG WAIVER AND RELEASE OF LIABILITY, TRANSPORTATION AND MEDICAL RELEASE WAIVER All Team Members must complete Release Waivers and submit along with Team Contracts. PLEASE COMPLETE ALL QUESTIONS AND AGREEMENT ITEMS
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 Perrson and Phone #
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Full Name of Athlete*
Relationship to gymnast*
Emergency contact Full Name*
Emergency contact Phone #*
Insurance Carrier *
Policy Number*
Name of person holding the policy*
Address of person holding the policy*
Home Phone *
Cell Phone *
Work Phone *
Relationship to gymnast*
Today's Date*
 
Additional Information:
 
WAIVER AND RELEASE OF LIABILITY
  (Show-Hide Details)
I've read the above and agree.
 
TRANSPORTATION AND MEDICAL RELEASE WAIVER
  (Show-Hide Details)
I've read the above and agree.
 
Video/Photographic/Website Release
  (Show-Hide Details)
I've read the above and agree.
 
Agreement Signature
  (Show-Hide Details)
I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments: