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Come and drop the kids off for a fun filled night at PGA! We will have games and relays! $20.00 to include pizza. Ages 5-12
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Assumption Of Risk
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The following sections shall be known as The Agreement
Assumption of Risk
I hereby consent to his/her participation in gymnastics, tumbling, dance, birthday parties, special events & activities including inflatables, camps and any and all other programs offered by Premier Gymnastics. I understand that participation in gymnastics, dance, and any and all other activities at Premier Gymnastics may result in unavoidable injuries including, but not limited to, muscle or other soft tissue strains, sprains and tears, broken bones, and severe injuries such as paralysis, permanent disabilities, or even death from various causes, known and unknown, which include, but are not limited to, the heights of the equipment and the body during certain movements, rotation of the body, and movement of the body, in a unique environment. I am fully aware of the inherent risks involved in gymnastics, dance, birthday parties, special events & activities including inflatables, camps, and any and all other activities offered by Premier Gymnastics and the possibility of injury from participating in the aforementioned activities.
I've read the above and agree.
Liability
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Release of Liability
In consideration for allowing my child to participate in activities offered byPremier Gymnastics., I, my heirs and assigns, next of kin, and all others acting on my behalf agree to waive any and all rights, claims, damages, actions, causes of action or suits of any kind or nature whatsoever which I have or my child has against Kristy Dowden, Premier Gymnastics or any agent, employee, representative or other acting on their behalf and to indemnify, defend and hold harmless Kristy Dowden, Premier Gymnastics or any agent, employee, representative or other acting on their behalf for any injuries suffered as a result of engaging in those activities offered by Premier Gymnastics. It is also my intent to release Kristy Dowden, Premier Gymnastics. and any agent, employee, representative or other acting on their behalf from liability for ordinary or gross negligent conduct that may occur in the future and agree not to sue.
Should any part or parts of this agreement be held null and void, the gross balance of the gross agreement shall remain valid and maintain its full force and effect. This acknowledgment of risk and WAIVER OF LIABILITY has been read by me and understood completely and signed voluntarily. I am 18 years of age or older.
By agreeing to this I understand that even though I am not taking gymnastics, and/or dance lessons and will not be on the equipment I may injure myself being in the gym. I take full responsibility for my actions and agree to pay for any and all medical bills that might arise from an accident at Premier Gymnastics. This could include, but not limited to stepping off uneven mats and twisting an ankle, broken bones, torn ligaments, spine injuries or even death. This includes outside the building in the parking lot and all surrounding areas.
I've read the above and agree.
Medical
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Medical Emergencies
I fully understand that the staff of Premier Gymnastics. are not physicians or medical practitioners of any kind. With that in mind, I hereby release Premier Gymnastics to render first aid to my child in the event of any injury or illness, and if deemed necessary to call an ambulance which I agree to pay for. As a parent or legal guardian, I agree to provide health insurance for the minor child and/or guarantee payment of any medical expenses incurred as a result of training, performing, or participation in activities with Premier Gymnastics.
Does your child have any medical conditions (mental or physical) or medications we should be aware of, including but not limited to; breathing problems, seizures, allergies, Downs Syndrome, dizzy spells, previous neck or spine injuries or conditions, broken bones, high blood pressure, diabetes, autism, epilepsy, heart condition etc.***ALL ABOVE CONDITIONS REQUIRE A DOCTORS RELEASE claiming your child is fit enough to take "GYMNASTICS", "DANCE", "GYM-N-LEARN EDUCATIONAL PRESCHOOL", and/or "CHEER"
NOTE: If my child requires an inhaler to be brought to class, I understand I am required to stay with him/her or get a doctor's release.
I've read the above and agree.
Audio and Image
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AUDIO AND IMAGE CONSENT
By your attendance in class, you are granting your permission for you and your child to be filmed, audiotaped, or photographed by any means and are granting full use of your likeness, voice, and words without compensation.
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This check mark represents my signature. And by checking this box I agree and understand the information in the "Agreement" above.
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