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The Arena Leadership Camp is a camp that will allow your child to be truly challenged through individual and team dynamics. Each day focuses on growing physical, mental and emotional competence and strength.
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End Date/Time:
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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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Questions/Options: |
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Additional Information: |
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Liability Waiver and Permission to Treat
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Acknowledgement of Risk and Waiver of Liability and Permission to Treat I hereby give permission for my child/children to participate in classes/events conducted by Thrive Gym LLC. I understand that it is my responsibility to carry my own accident and medical insurance. In the event of an injury, accident or illness, I authorize customary medical treatment if it becomes necessary, and transportation and emergency medical services if warranted. The enrolled child/children is/are capable of participating in gymnastics, ninja, dance and other programs and have had a physical within the last (12) twelve months. Any activity involving motion, jumping, flipping, rolling, running etc... involves the possibility of serious, permanent or fatal injury. I understand the risks of participating in gymnastics, ninja, dance and other programs we offer and therefore, in consideration for allowing my child/children to use Thrive Gym LLC. equipment and facilities, I hereby forever release Thrive Gym LLC., it’s owners, officers, employees, teachers and coaches from all liability for any and all damage, illnesses and injuries suffered by my child/children while under the instruction, supervision or control of Thrive Gym LLC, it’s owners, officers, employees, teachers, and coaches. This acknowledgment of risk and waiver of liability, having been read thoroughly and understood completely, is signed voluntarily as to its conten
I've read the above and agree.
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Photo Consent
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I understand that Thrive Gym LLC occasionally takes photos of students for advertising, promotional, media or social media purposes. These photos are never used in conjunction with names or personal identifiers. I agree that my child’s photo can be used by Thrive Gym LLC in this capacity.
I've read the above and agree.
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Video Release
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Our facility whereby webcams are in use and streaming video is captured of myself, other employees and the children enrolled at the facility at all times. I Understand that I'm under constant streaming video surveillance that is accessible from the web in accordance with the terms and conditions associated with theSpot TVwebsite (also referred to herein as “Spot TV”). I hereby consent to the photographing of myself and children. I understand that the term"photograph" as used herein encompasses both still photographs and motion picture footage.
I've read the above and agree.
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Electronic Signatures
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Electronic Signatures. Parent or Legal Guardian consent to the use of electronic signatures on this form and all documents relating to Thrive Gym enrollment and activities. Parent or Legal guardian agree that any electronic signatures appearing on Thrive Gym enrollment documentation. Documents are the same as handwritten signatures for the purposes of validity, enforceability and admissibility, and that any electronically signed Thrive Gym Document shall, for all purposes of these documents and applicable law, be deemed to be "written" or "in writing", to have been executed, and to constitute an original written record when printed, and shall be fully admissible in any legal proceeding. For purposes hereof, "electronic signature" shall have the meaning set forth in the Uniform Electronic Transactions Act, as the same may be amended from time to time.
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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