Registration
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Twisted Mini Moose Meet Flipshots and Petite Elite students only during this time 11:30am-1:00pm Students should arrive 15 minutes prior to start time Students get a chance to show off their skills to family and friends. Every child receives a medal and a chance to win best floor, best bars, best beam awards. $40.00 per child-each child must be registered individually. Once charged no refunds will be issued
Event:
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End Date/Time:
Fee per Student:
Room:
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Family Information
First Name:
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Last Name:
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Type
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Doctor/Physician
Father
Grandparent
Guardian
Mother
Other
Parent
Step Father
Step Mother
Home Phone:
Cell #:
Work #:
Email:
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(Emails are kept confidential)
Address:
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City:
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State:
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Zip:
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Emergency Contact Info
Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Birth Date:
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(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #2:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Birth Date:
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(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #3:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
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Birth Date:
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(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #4:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #5:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Birth Date:
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(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Questions/Options:
Childs age and gymnastics level?
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Additional Information:
Release of Liability
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I HEREBY EXPRESSLY WAIVE AND RELEASE ANY AND ALL RIGHTS AND CLAIMS, NOW KNOWN OR HEREAFTER KNOWN, AGAINST THE RELEASED PARTIES FOR ANY SERIOUS INJURY, DISABILITY, TRANSMITTABLE VIRUS, DISEASE, PARALYSIS, DEATH, AND/OR OTHER DAMAGES OR LOSSES SUFFERED BY THE PARTICIPANT BY REASON OF PARTICIPATION OR MEMBERSHIP IN CLASSES, LESSONS, PROGRAMS, OR ACTIVITIES OF FLIPS GYMNASTICS, INCLUDING THOSE CAUSED BY THE ORDINARY NEGLIGENCE OF THE RELEASED PARTIES.
Indemnification
I further agree that if, despite this release, I or anyone on behalf of the Participant makes a claim against Flips Gymnastics arising from or related to the participation or membership of the Participant in classes, lessons, programs, or activities of Flips Gymnastics, I will indemnify, save, and hold harmless each of the Released Parties from any litigation expenses, attorneys’ fees, liabilities, damages, or costs that may incur as the result of any such claim.
I've read the above and agree.
Assumption of Risks
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I am aware and understand that participation or membership in classes, lessons, programs, or activities of Flips Gymnastics, including, without limitation, the transportation of the Participant in a vehicle, whether that vehicle is owned by Flips Gymnastics or any other party, is potentially dangerous and, despite all reasonable precautions implemented for safety, involves the risk of serious injury, theft or loss of personal items, disability, transmittable virus, disease, paralysis, and/or death, among other damages and losses, arising out of participation in Flips Gymnastics, the sport of gymnastics, and/or activities incidental thereto, wherever or however they occur and for such period said activities may continue.
I acknowledge that any injuries sustained by the Participant may result from or be compounded by the negligence of Flips Gymnastics, including negligent emergency response or rescue operations of Flips Gymnastics.
I acknowledge that the participation or membership of the Participant in classes, lessons, programs, or activities of Flips Gymnastics is voluntary and undergone with knowledge of the risks involved. I agree, appreciate, and acknowledge that inherent known and unknown risks exist with respect to participating in Flips Gymnastics. Notwithstanding the inherent risks, both foreseeable and unforeseeable, of participating in Flips Gymnastics, I HEREBY AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS, KNOWN AND UNKNOWN, ARISING BY REASON OF THE PARTICIPATION OR MEMBERSHIP OF THE PARTICIPANT IN CLASSES, LESSONS, PROGRAMS, OR ACTIVITIES OF FLIPS GYMNASTICS, INCLUDING THOSE CAUSED BY THE ORDINARY NEGLIGIENCE OF FLIPS GYMNASTICS OR ITS OWNERS OPERATORS, COACHES, MEMBERS, AGENTS, OR EMPLOYEES (THE “RELEASED PARTIES”).
I've read the above and agree.
Medical Emergency
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Medical and Other Emergencies
On behalf of the Participant, I give permission to Flips Gymnastics and its owners, operators, coaches, members, agents, or employees to take whatever emergency (first aid, disaster, evacuation, etc.) measures it judges necessary in its sole discretion for the care and protection of the Participant. In case of medical emergency, I understand that Flips Gymnastics may need to seek medical treatment and transportation for the Participant, and that in some instances, this may occur before Flips Gymnastics can contact a parent, legal guardian, and/or other emergency contact of the Participant. I understand and agree that I am solely responsible for all costs related to the Participant’s medical treatment and transportation. I hereby release, forever discharge, and hold harmless Flips Gymnastics from any claim based on such treatment, transportation, or other medical or emergency services.
I've read the above and agree.
Non-Refundable
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Once charged there are no refunds issued for this event.
I've read the above and agree.
Publicity or Advertisement
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I am aware that individual and group publicity photos and videos may be taken from time to time and in consideration of the Participant being allowed to participate or be a member in any classes, lessons, programs, or activities of Flips Gymnastics, I hereby grant permission for the likeness of the Participant to be used in Flips Gymnastics publicity or advertising.
I've read the above and agree.
Signature Text
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PARENT OR LEGAL GUARDIAN OF PARTICPANT ACKNOWLEDGEMENT
(MUST BE COMPLETED FOR PARTIIPANTS UNDER THE AGE OF 18)
I've read the above and agree.
Food and Drink Policy
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No food or drink allowed in the gym.
I've read the above and agree.
Enter your Full Name:
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Other Questions/Comments:
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