Registration

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Friday Night Skill Session is a weekly event for ages 13+. Participants make use of the 5Star facility to practice specific Parkour skills on a drop-in basis. There is no monthly obligation for the Friday night Skill Session. Pay as you go!

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Registration Information

	First Name:*	Last Name: *
	Relationship To Student*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

Students entered below will be added to your family's account

Additional Information:

RELEASE AND WAIVER OF LIABILITY AGREEMENT

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In consideration of participating in the physical activities including but not limited to gymnastics, tumbling, parkour, ninja warrior, breakdance, martial arts, yoga, birthday parties and other such activities, I understand the nature of these activities and that I and/or my child/children are qualified, in good health, and in proper physical condition to participate in such activities. I acknowledge that if I believe class/event conditions are unsafe, I will immediately discontinue and/or will immediately discontinue my child/children's participation in such activities. I fully understand that these activities involve risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own and or my child's actions, or inactions, those of others participating in the class/event, the conditions in which the class/event takes place, or the negligence of the "Releasees" named below; and that there may be other risks either not known to me or my child/children which are not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, cost, and damages I or my child/children may incur as a result of our participation in the activities.

I hereby release, discharge, and covenant not to sue Five-Star Gymnastics Academy, Inc, 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, claims, demands, losses, or damages, on my account caused or alleged to be caused in whole or in part by the negligence of the "Releasees" or otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of 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 and 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.