Registration
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Family Information
First Name:
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Emergency Contact Info (After Parents)
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Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
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Birth Date:
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(format=mm/dd/yyyy)
Allergies (Leave blank if none):
Medications (Leave blank if none):
Add New Student #2:
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Student's First Name:
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Birth Date:
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Allergies (Leave blank if none):
Medications (Leave blank if none):
Add New Student #3:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
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Birth Date:
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(format=mm/dd/yyyy)
Allergies (Leave blank if none):
Medications (Leave blank if none):
Add New Student #4:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
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Birth Date:
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(format=mm/dd/yyyy)
Allergies (Leave blank if none):
Medications (Leave blank if none):
Add New Student #5:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if none):
Medications (Leave blank if none):
Additional Information:
PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK
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In consideration of the services of Gymsport LLC, their agents, owners, officers, volunteers and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "GS"), I hereby agree to release, indemnify, and discharge GS, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:
1. I acknowledge that my participation in Indoor Parkour, Gymnastics, and Tumbling Training & Instruction entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.
The risks include, among other things: slips and falls; falling from equipment; rope burns; pinches, scrapes, twists and jolts that could result in scratches, bruises, sprains, lacerations, fractures, concussions, or even more severe life threatening hazards; muscular soreness, tears, strains, sprains, dislocations, fractures and broken bones; transmissible pathogens or disease; cuts, bruises, and muscle soreness; wrist, arm and shoulder injuries; musculoskeletal injuries including head, neck, and back; injuries to internal organs; the negligence of other people; my own physical condition; and the risk of emotional and psychological injuries or physical damage associated with this activity. In any event, if you or your child is injured, any medical assistance will be at your own expense.
Furthermore, GS personnel have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant's fitness or abilities. They might misjudge the weather or other environmental conditions. They may give incomplete warnings or instructions, and the equipment being used might malfunction.
2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.
3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless GS from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of GS's equipment or facilities, including any such claims which allege negligent acts or omissions of GS.
4. Should GS or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.
5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.
6. In the event that I file a lawsuit against GS, I agree to do so solely in the state of Pennsylvania, and I further agree that the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect.
By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against GS on the basis of any claim from which I have released them herein. I also agree that this document is valid for subsequent visits and participation at GS. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.
I've read the above and agree.
Certification and Authority to Sign
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I certify that I am 18 years of age or older and that I have read, fully understand, and agree to the terms of this Agreement, and I sign it voluntarily with full knowledge of its significance.
By signing below, I represent and warrant that I am the parent, legal guardian, or power-of-attorney authorized to bind, jointly and severally, all parents and/or legal guardians of the Child Participant(s) listed below and have the authority to execute this Agreement on his/her or their behalf and to act on his/her or their behalf. I have read each and every paragraph in this document and I and they agree to be bound by the terms stated therein, including the release of liability contained therein. I further agree to indemnify and hold harmless Gymsport from any and all claims which are brought by, or on behalf of Child Participant, and which are in any way connected with such use or participation by Child Participant.
I've read the above and agree.
Photo Release
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I understand that Gymsport periodically takes photos and videos of classes for training, promotions, and social media outlets. Student's personal information (i.e. last name, age, etc.) will never be used. If I do not wish to have my child(ren)'s image used by Gymsport, I will inform Gymsport in writing by emailing lauren@gymsport.com. Participants further release, discharge, and agree to hold harmless Gymsport from any liability that may arise from such use and publicity, including without limitation any claims by Participants for libel or violation of any right of publicity or privacy.
Gymsport has a program wherein webcams are in use. I understand Child Participant is under streaming video surveillance that may be used for training and management purposes. In addition, secure accessibility is available from the web in accordance with the terms and conditions associated with the Spot TV website* (also referred to herein as "Spot TV"). By my digital signature, I hereby consent to the photographing of Participants and the recording of my voice and/or that of Child Participant named herein. I agree that I have no rights to any of the video footage or photographs for any reason at any time. I also agree that I will not screenshot, copy, reproduce, alter, modify, or create derivative works from the Content and Service. I understand that unauthorized recording, duplication, or distribution of this copyrighted work is illegal. I assume full liability of all the terms outlined in this release for any family member's account activity associated with Participants. Copyrighted work includes all web streaming and video/audio recordings. I understand that legal action can be taken against me by Spot TV or Gymsport for such copyright infringement.
I understand that the term "photograph" as used herein encompasses still photographs, audio, and motion picture footage.
*Please review online security features, privacy policy, and terms of service made available on Spot TV's website: spottv.pro.
I've read the above and agree.
Behavior Rules
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I understand and agree to abide by Gymsport's behavior rules, listed below:
- No drinks, gum, or food beyond the lobby.
- Keep language clean. No profanity.
- Share equipment and take your turn.
- One person at a time on any piece of equipment.
- Absolutely NO spotting other athletes.
- No diving head first into the foam pits.
- No horseplay, chasing others or throwing of equipment.
- Only practice skills that you are capable of performing safely. Gymsport staff members have the right to ask you to stop any skill that looks unsafe. Gymsport provides classes and private lessons if you would like to learn new skills.
I've read the above and agree.
Open Gym Dress Code
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I understand and agree to abide by Gymsport's dress code, listed below:
- Please keep shirts on. Your stomach must be covered. Crop tops/bra tops are not permitted. (White shirts are available to purchase in the Pro Shop for $5 if needed.)
- No outdoor shoes, belt buckles, jewelry or jeans beyond the lobby. You will be restricted to certain equipment if you are wearing unsafe apparel.
- Cheer shoes (that have been worn indoors ONLY) are permitted on the tumbling floors. Clean athletic shoes are permitted in the Parkour gym (shoes must be taken off to walk back to the Parkour gym.
- No shoes are permitted on the deck.
I've read the above and agree.
Equipment Limitations & Rules
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I understand and agree to abide by Gymsport's equipment and gym space rules, listed below:
- Please treat our facility and equipment with respect. Do not intentionally damage, break, or deface any Gymsport property.
- Preschool equipment (including the Jungle Gym) is off limits..
- Only competitive gymnasts are permitted to use the competition uneven bars.
- Athletes must be at least 9 years of age or be able to do a round off back handspring to use the Deck TumblTrak and Rod Floor.
- No participant is permitted to use the trench bar.
- Gymnastics vaulting over the vault table is not permitted.
- The high “mountain” in the Parkour gym is off limits.
- The back gym will be closed during Open Gym.
- No swinging from the ropes.
- If you move mats or other equipment, please put it back.
- Use equipment as it is designed to be used. If you are unsure, please ask.
I've read the above and agree.
Enter your Full Name:
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