Registration
Already a customer? Click here to login.
Come celebrate Halloween at our PNO-COSTUME PARTY Event! Your child will have lots of fun playing on our obstacle courses, games activites & a candy hunt and so much more... Pizza & juice provided. Ages 3-12 6:30-9:00 PM $25 Members $35 Non-Member Pre-Registration due by Thursday before Event NO WALK INS! *MUST BE POTTY PROFICIENT
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Type
Caregiver
Father
Grandparent
Guardian
Mother
Parent
Self
Home Phone:
Cell #:
Work #:
Email:
(Emails are kept confidential)
Address:
*
City:
*
State:
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NC
ND
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
*
Emergency Contact Info (Not Contact #1 or #2)
Students entered below will be added to your family's account
Add New Student #1:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Questions/Options:
Phone number you can be reached at during PNO event?
*
Promocode:
Additional Information:
RELEASE LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY
(Show-Hide Details)
PLEASE USE THE FOLLOWING WAIVER:
WHEN YOU HAVE ANY PARTICIPANT THAT IS A MINOR.
**(Parent or Legal Guardian should sign the name of the minor if the minor is not old enough to sign the waiver
themselves.) Also have the parent consent portion signed by the Parent and /or Legal Guardian. This Waiver, when
the parent gives parental consent for the minor, does not cover the parent if something should happen to the parent.
This waiver only covers the minor. If the parent decides to participate in the same activity as the minor please Make
sure the Parent also signs the Parent release form in addition to this waiver.
In consideration of participating in the Infinity Gymnastics I represent that I understand the nature
of this Activity and that I am qualified, in good health, and in proper physical condition to participate in such
Activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue
participation in the activity. I fully understand that this Activity involves risks of serious bodily injury,
including permanent disability, paralysis and death, which may be caused by my own actions, or inactions,
those of others participating in the event, the conditions in which the event takes place, or the negligence of
the "releasees" named below; and that there may be other risks either not known to me or not readily
foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, cost, and
damages I incur as a result of my participation in the Activity.
I hereby release, discharge, and covenant not to sue Infinity Gymnastics its respective
administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors,
advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each
considered one of the "RELEASEES" herein) from all liability, and assumption of risk I, or anyone on my behalf,
makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees
from any loss, liability, damage, or cost, which any may incur as the result of such claim.
I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT,
understand that I have given up substantial rights by signing it and have signed it freely and without any
inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability
to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the
balance, notwithstanding, shall continue in full force and effect.
I've read the above and agree.
PARENTAL CONSENT
(Show-Hide Details)
AND I, the minor's parent and/or legal guardian, understand the nature of the above referenced activities and
the Minor's experience and capabilities and believe the minor to be qualified to participate in such activity. I
hereby Release, discharge, covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS
each of the Releasees from all liability, claims, demands, losses or damages on the minor's account caused or
alleged to have been caused in whole or in part by the negligence of the Releasees or otherwise, including
negligent rescue operations, and further agree that if, despite this release, I, the minor, or anyone on the
minor's behalf makes a claim against any of the above Releasees, I WILL INDEMNIFY, SAVE AND HOLD
HARMLESS each of the Releasees from any litigation expenses, attorney fees, loss liability, damage, or cost
any Releasee may incur as the result of any such claim.
I've read the above and agree.
MEDICAL EMERGENCY
(Show-Hide Details)
The undersigned gives permission for the IG owners, officers, employees, and/or agents whether paid or volunteer to seek and give appropriate emergency medical attention for the participant(s) during class, practice , event, or party in the event of accident, injury, or illness in the event they are unable to reach any parent or guardian. I understand that I will be responsible for any and all costs of medical attention and treatment. I represent that the participant is covered by medical insurance. I understand that cheerleading, tumbling, and gymnastics are inherently dangerous and that injuries occur. I represent that I have sought the opinion of the participants physician and that participant is physically fit and mentally capable of participating on a cheer team, gymnastics team, and/or recreational class, event or party.
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
Credit Card Verification:
Card Number:
*
Visa
Mastercard
Amex
Discover
Name as it appears on card:
*
Nickname:
Card Expiration Month:
*
01
02
03
04
05
06
07
08
09
10
11
12
Exp Year:
*
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
Address Line 1:
Address Line 2:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip:
*
Please Wait...
