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Playtime for children ages 6 and younger (contact us if you are looking for playtime for older children). Adults are required to supervise children on the play floor. Does not include Monster Mountain (big rock wall) or competition gymnastics equipment.
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Fee per Student:
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Room:
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* - denotes required fields |
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Family Information |
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Students entered below will be added to your family's account
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Add New Student #1:
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Add New Student #2:
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Additional Information: |
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Assumption of Risk
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I understand that participation in any instructional or recreational activities at Emerald City Gymnastics, Inc. ("ECG"), including, but not limited to, gymnastics, dance, ballet, cheerleading, trampolining, tumbling, Bump City, Monster Mountain (rock climbing), Ropes Course and any other related programs at ECG (the "Programs") is voluntary, and that all Programs and the use of the related facilities and equipment therein carries various physical and other risks. I consent to my minor child participating in one or more of the Programs.
I agree, on behalf of myself and my minor child, to assume the risk of any and all illness or injury (minor, serious or catastrophic in nature, including claims and suits for any injury, fatal or otherwise) or damage (to person or property) resulting from participation in all Programs, whether allegedly resulting from my negligence or the alleged negligence of ECG or any of its officers, directors, instructors, agents, employees or representatives, whether paid or volunteer ("ECG Staff").
I understand that my and my minor child's presence at ECG and my minor child's participation in the Programs may give rise to the transmission of various illnesses, including the common flu and the novel coronavirus (COVID-19), whether from other Program participants, ECG Staff or other individuals. I specifically agree, on behalf of myself and my minor child, to assume the risk of any and all illness (including personal injury, disability and death) resulting from my or my minor child's presence at ECG or my minor child's participation in the Programs, whether allegedly resulting from my negligence or the alleged negligence of ECG or the ECG Staff. I further agree to promptly notify ECG if I or my minor child experiences symptoms of a communicable illness or virus or if I have been diagnosed with a communicable illness or virus.
I've read the above and agree.
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Release of Liability
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I understand that if I or my minor child becomes ill or is injured or our property is damaged while participating in the Programs, that the illness, injury or loss will not be covered or reimbursable by ECG.
I've read the above and agree.
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Photo Release
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From time to time, ECG may take pictures/videos of Program participants to use for ECG's website, brochures and posters, or training purposes. I hereby grant to ECG the unconditional right to use the name, voice and likeness of my minor child in connection with any publications or materials (whether print or digital), audio/visual productions, website and social media.
I've read the above and agree.
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Medical Emergencies
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I fully understand that none of the ECG Staff are physicians or medical practitioners of any kind. With the above in mind, I hereby release and grant permission to the ECG Staff to render temporary first aid to me and my minor child in the event of any injury or illness, and if deemed necessary by the ECG Staff to call a doctor to seek medical help, including transportation by an ECG Staff member to any health care facility or hospital, or the calling of an ambulance for me or my minor child if the ECG Staff considers it necessary.
I've read the above and agree.
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Other Questions/Comments: |
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Credit Card Verification: |
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Card Number: * |
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Name as it appears on card: * |
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Nickname:
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Card Expiration Month: * |
Exp Year: *
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Address Line 1:
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Address Line 2:
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City:
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State:
Zip:*
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