Registration
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Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Type
*
Caregiver
Father
Friend
Grandparent
Guardian
Mother
Parent
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
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OK
OR
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RI
SC
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VA
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WA
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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)
USAG membership Number:
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college-junior
college-senior
kindergarten
pre-K
preschool
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
USAG membership Number:
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college-junior
college-senior
kindergarten
pre-K
preschool
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
USAG membership Number:
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college-junior
college-senior
kindergarten
pre-K
preschool
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
USAG membership Number:
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college-junior
college-senior
kindergarten
pre-K
preschool
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
USAG membership Number:
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college-junior
college-senior
kindergarten
pre-K
preschool
Additional Information:
General Risk & Liability
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I am fully aware of and understand the risk of injury during the sport of gymnastics training, and gymnastics competition despite all reasonable precautions taken for the participant's safety. Those risks include the risk of catastrophic injury, paralysis, and death, and the damage and losses associated with those ricks. I knowingly and willingly assume all those risks as a condition of the student's participation in the programs and activities offered and conducted by Legacy Elite Gymnastics, LLC. For myself and for my heirs and personal representatives and for anyone claiming through me, I hereby waive and release any and all rights and claims for damages for personal injury or other loss that student might have or sustain as a result of or relating to student's participation in any of the programs and activities of Legacy Elite Gymnastics, LLC. The persons released from claims include Legacy Elite Gymnastics, LLC. and the owners, directors, officers, operators, coaches, trainers or staff of Legacy Elite Gymnastics, LLC. As student, or as student's parent or legal guardian, I declare that I am aware of student's experience and capabilities and I understand the nature of the gymnastics programs and activities referred to in the preceding paragraph. I believe student to be in good health, in proper physical condition, and otherwise qualified to participate in those programs and activities. I hereby further release each of the persons designated in the preceding paragraph from any and all claims for loss caused or alleged to have been caused by the negligence of the persons released, or by the negligence of any third party (including emergency and health care personnel), relating to those programs and activities and medical emergency aid rendered in connection therewith. I covenant not to sue any of the persons released in connection with any such claim, and I agree to indemnify and hold them harmless from any cost, expense, attorney's fee, or other loss if student, I, or any other person acting on the student's behalf or otherwise makes any such claim against any of them. All photos or videos taken at and or associated in or with Legacy Elite Gymnastics is property of Legacy Elite and may be used for media or other needs for Legacy Elite Gymnastics. There are no refunds for payments made such as registration fees and tuitions. Accounts on monthly auto charge required to notify before the 20th of the month, by email written notice of cancellation.
I've read the above and agree.
Illness
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I further acknowledge, understand, appreciate and agree that my participation may result in possible exposure to and illness from infectious diseases, including, but not limited to, MRSA, Influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others, and assume full responsibility for my participation and exposure. I agree to follow Legacy Elite rules and protocols regarding safety and health regulations and am fully aware that protocols may change. In the event of an "act of God" including but not limited to tornado, hurricane, fire, pandemic illness, etc. tuition is not refundable, prorated, and make up days may not be available.
I've read the above and agree.
Parental Consent
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I, hereby covenant and promise that I am the minor's parent and/or legal guardian, and on behalf of myself and the minor, 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 further understand the risk of exposure to injury and/or infectious diseases, for myself and my child, as a participant, spectator at events, classes or our presence at the facility. I hereby release, discharge, covenant not to sue and agree to defend, indemnify and hold harmless each of the releasees from all liability, claims, demands, losses or damages on the minor's or my account caused or alleged to have been caused in whole or in part by the negligence of the Releasees or otherwise, including, but not limited to injury, negligent rescue operations, and/or exposure to infectious diseases and I 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 defend, releasees from any litigation indemnify, and hold harmless each of the which such claim. I, hereby covenant and promise that I am the minor's parent and/or legal guardian, and on behalf of myself and the minor, 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 further understand the risk of exposure to injury and/or infectious diseases, for myself and my child, as a participant, spectator at events, classes or our presence at the facility. I hereby release, discharge, covenant not to sue and agree to defend, indemnify and hold harmless each of the releasees from all liability, claims, demands, losses or damages on the minor's or my account caused or alleged to have been caused in whole or in part by the negligence of the Releasees or otherwise, including, but not limited to injury, negligent rescue operations, and/or exposure to infectious diseases and I 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 defend, releasees from any litigation indemnify, and hold harmless each of the which such claim.
I've read the above and agree.
Agreement
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I hereby release, discharge, and covenant not to sue Legacy Elite Gymnastics, LLC, a limited liability company, Owners, its members, administrators, directors, agents, officers, volunteers, employees, contractors, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of the premises on which the activity takes place, (each considered one of the "RELEASEES" herein) from all liability, claims, demands, losses, damages, on my account caused or alleged to be caused in whole or in party by the negligence of the RELEASEES or otherwise, including negligent rescue operations and further 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, defend, and hold harmless each of the RELEASEES from any loss, liability, damage, or cost, which any may incur as the result of such a claim. I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, and I 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. I 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.
Participation
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In consideration of participating at Legacy Elite Gymnastics, LLC, a Limited Liability Company, 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 or I am unable to safely perform any activity, I will immediately discontinue participation in the activity. I fully acknowledge, understand, appreciate and agree, 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've read the above and agree.
Media/Photo release
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For consideration which I acknowledge, I irrevocably grant the Company and the Company's assigns, licensees, successors, and legal representatives the righto photograph, copy, publish, display and use images that have been taken of me in all forms and media including composite or modified representations. I waive the right to inspect or approve the manner in which the images are used and waive the right to inspect any text that is used in connection with the images. Warranty, Indemnity & Release- I warrant that I am of legal age and have the authority to grant the rights under this agreement and agree to indemnify the Company from any claims. I release the Company and the Company's assigns, licensees and successors from any claims that may arise regarding the use of the image, including limitations and any and all claims for libel or invasion of privacy. I hereby warrant that I am of legal age and competent to contract in my own name in so far as the above is concerned, or I hereby certify that I am the parent and/or legal guardian of the minor under the age of legal consent. I hereby consent that any photographs, which have been, or are about to be, taken by the Company, may be used for the purposes set forth in original release above.
I've read the above and agree.
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