In consideration of Ground Zero Gymnastics, L.L.C., allowing this individual to participate in sports activity, class, competition, team, including non-gymnastics activities, such as swimming and playground activities (hereinafter referred to as the "Activity"), I, and if I am not yet 18 years old my parents or legal guardians, agree to be bound as follows (the term "I" in this release refers to both the gymnast and his or her parents or legal guardians):

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 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 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 hereby release, discharge, and covenant not to sue Ground Zero Gymnastics, LLC, it's 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 agree that participants involved in Ground Zero Gymnastics, L.L.C. programs/activities may be photographed and such photographs may be used to publicize the Ground Zero Gymnastics, L.L.C programs/activities. Permission is hereby granted for Ground Zero Gymnastics, L.L.C representatives to take and use: photographs and/or digital images of the participants for use in news releases and/or promotional materials. These materials might include printed or electronic publications, websites, or other electronic communications. I further agree that the participants' names and identity may be revealed in descriptive text or commentary in connection with the image(s). I authorized the use of these images without compensation to me. All negatives, prints, digital reproductions shall be the property of Ground Zero Gymnastics, L.L.C. representatives.
In addition, I acknowledge that photographs may be taken by other persons not employed by Ground Zero Gymnastics, L.L.C, and those photographs/digital images may appear on social media sites, i.e. Facebook, etc, and Ground Zero Gymnastics, L.L.C has no control or responsibility over those images.

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.

GROUND ZERO GYMNASTICS Concussion Safety Protocol
Introduction GROUND ZERO GYMNASTICS is committed to protecting the health of and providing a safe environment for each of its participating athletes. We recognize that gymnastics is a high-risk sport for concussion. To this end, GROUND ZERO GYMNASTICS has adopted the following Concussion Safety Protocol for all athletes. This protocol identifies expectations for the club's concussion management practices as they relate to (1) the definition of sport-related concussion; (2) preseason education; (3) recognition and diagnosis; (4) post-concussion management; (5) return-to-learn & sport; and (6) limiting exposure to head trauma.
1. Definition of Sport-Related Concussion The Consensus Statement on Concussion in Sport, which resulted from the 5th international conference on concussion in sport, defines sport-related concussion as follows: Sport-related concussion (SRC) is a traumatic brain injury induced by biomechanical forces. Several common features that may be utilized to clinically define the nature of a concussion head injury include: SRC may be caused either by a direct blow to the head, face, neck or elsewhere on the body with an impulsive force transmitted to the head ,SRC typically results in the rapid onset of short-lived impairment of neurological function that resolves spontaneously. However, in some cases, signs and symptoms evolve over a number of minutes to hours, SRC may result in neuropathological changes, but the acute clinical signs and symptoms largely reflect a functional disturbance rather than a structural injury and, as such, no abnormality is seen on standard structural neuroimaging studies, SRC results in a range of clinical signs and symptoms that may or may not involve loss of consciousness. Resolution of the clinical and cognitive features typically follows a sequential course. However, in some cases symptoms may be prolonged.
2. Preseason Education All athletes and parents of minor athletes will be provided and allowed an opportunity to discuss educational material (e.g., the USA Gymnastics Sports Concussion Overview) and be required to sign an acknowledgement, on an annual basis and prior to participation, that they have been provided, reviewed and understood the concussion education material. All coaches involved in athlete health and safety decision making are required to complete concussion education training prior to coaching and annually thereafter. Coaches must be allowed an opportunity to discuss educational material (e.g., the USA Gymnastics Sports Concussion Guidelines, the USA Gymnastics Sports Concussion Overview) and be required to sign an acknowledgement, on an annual basis, that they have been provided, reviewed and understood the concussion education material. Concussion education should include: The definition of concussion , Possible mechanisms of injury, Common signs and symptoms, Steps that can be taken to prevent concussions and other injuries from occurring in gymnastics, What to do when an athlete has suffered a suspected , concussion or more serious head injury What measures should be taken to ensure proper medical assessment, Return-to-School and Return-to-Sport Strategies (See USAG return to sport progression for gymnastics-specific progressions for each discipline), Return to sport medical clearance requirements
3. Recognition and Diagnosis of Concussion All coaches in a member club must be able to recognize the potential mechanism of injury of a concussion and the signs and symptoms of acute concussion. Coaches must immediately discontinue training or competition for anyone who is suspected of having a concussion and must monitor the athlete until a parent arrives. Coaches must be able to recognize red flag signs and symptoms and must activate 911 if these signs and symptoms are present. Medical personnel with training in the diagnosis, treatment and initial management of acute concussion will be present at all high-risk USAG sanctioned competitions (see Rules & Procedures for definition of high-risk for your discipline). Any athlete that exhibits signs, symptoms or behaviors consistent with concussion: *Must be removed from practice or competition until they are evaluated by a medical professional* , *Must be evaluated by a physician (or physician designee) with concussion experience* , *May only return to play the same day if onsite medical personnel determine that concussion is no longer suspected*
4. Post-concussion Management Activation of emergency action plan must occur for any of the following scenarios following a suspected concussion: Severe or worsening headache, Weakness or numbness in the arms or legs, Vomiting, Slurred speech, Neck pain, Double vision, Seizure activity or convulsions, Agitated or combative, Loss of consciousness or deteriorating conscious state (going in and out of consciousness) Because concussion may evolve or manifest over time, for all suspected or diagnosed concussions, athlete should be monitored by club personnel trained in concussion until a parent arrives. An athlete should never be allowed to drive him/herself home after a suspected concussion. For all cases of suspected or diagnosed concussion, there must be documentation that post-concussion plan of care was communicated to both the athlete and another adult responsible for the athlete, using the USA Gymnastics Sports Concussion Information form.
5. Return-to-Learn & Sport Prior to return to gymnastics after a concussion event, the athlete must be symptom free with all activities of daily living and academic activities. Performance of academic activities must be back to the athlete's baseline and without modification. Return-to-sport progressions should not begin until the athlete has completed an unrestricted return-to-learn progression. Initiation of the return-to-sport protocol must be approved by a physician or his/her medically qualified designee. The timeline for return-to-sport varies based on individuals and other medical conditions including prior history of concussion. It generally takes longer for children and adolescents to return-to-sport than it does for adults. Final determination of unrestricted return-to-sport will be made by a physician or his/her medically qualified designee following implementation of an individualized, supervised stepwise return-to-sport progression detailed in the USA Gymnastics Gymnastics-Specific Return-to-Sport Strategy document that includes: Rest followed by light aerobic activity, Return to early sport training: Inversion, Progress sport specific training: Flipping, Progress sport specific training: Twisting, Progress sport specific training: Advanced Skills (physician clearance required to move to step, Return to full training. The above stepwise progression will be supervised by a health care provider with expertise in concussion, with it being typical for each step in the progression to last at least 24 hours. NOTE: If at any point the athlete experiences a return of concussion-related symptoms, they should go back to the previous stage that they completed symptom-free, wait for symptoms to resolve (minimum 24 hours), and then begin the progression again. The minor athlete's parent should always be notified if the athlete becomes symptomatic.
7. Limiting Exposure to Head Trauma GROUND ZERO GYMNASTICS is committed to protecting the health of and providing a safe environment for each of its participating athletes. We will provide a safe environment for our athletes by: Ensuring gymnasts have completed proper progressions prior to trying a new skill, Using proper mats and equipment setup, Having spotters in place at practice and during competition, Ensuring the area is clear prior to beginning a skill to prevent collisions, Ensuring equipment is properly maintained and inspected.
By signing and dating this form, I hereby acknowledge, that I will adhere to the club's Conc

I authorize Ground Zero Gymnastics, L.L.C., to provide to the participant, through medical personnel of its choice, customary medical assistance, transportation, and emergency medical services should the gymnast require, such assistance, transport or services as a result of injury or damage related to participation in the Activity. If the gymnast is a minor and a parent or guardian is not present, efforts will be made to contact a parent or guardian that are reasonable under the circumstances, but treatment will not be withheld if a parent or guardian cannot be reached.

Ground Zero Gymnastics billing is monthly, and all advertised prices are based on a 4-week cycle. Prices will vary depending on how many weeks are in the month and holiday gym closures. Statements are not mailed but can be viewed by logging onto the www.groundzerogymnastics.com "Parent Portal." Your account will continue to be billed monthly until two-week written email notice of cancellation of classes is received before monthly billing is due. Once payments are charged for the month, no proration will be given, and no money will be refunded.

*AUTOMATIC PAYMENT PROCESSING WILL ONLY BE AVAILABLE ON THE 1ST MONTH ONLY AS OF SEPTEMBER 1, 2019*
*NSF CHECK CHARGE OF $75.00 WILL BE APPLIED TO YOUR ACCOUNT, WITH THE TOTAL DUE IN FULL IMMEDIATELY. THERE IS A POSSIBILITY OF NFS CHECK BEING RUN AN ADDITIONAL TIME, ACCRUING ANOTHER $75 FEE.
*AS OF SEPTEMBER 1, 2019, WE WILL NO LONGER ACCEPT PERSONAL CHECK.

***** REMINDER ON BILLING *****

*STATEMENTS WILL BE AVAILABLE ON THE 25TH OF EACH MONTH*

*ADVERTISED PRICES ARE BASED ON A FOUR WEEK CYCLE*

*CLASS PRICES WILL VARY DEPENDING ON HOW MANY WEEKS ARE IN A MONTH AND HOLIDAY GYM CLOSURES*

*ACCOUNTS WILL INCUR A $15.00 LATE FEE IF PAYMENTS NOT RECEIVED BY THE 7TH OF EACH MONTH*

*TWO-WEEK EMAILED WRITTEN NOTICE REQUIRED ON CLASS CANCELLATION* Notice must be given before monthly billing is due. Once payments are charged for the month, no proration will be given, and no money will be refunded.
FOR BILLING QUESTION PLEASE CONTACT THE OFFICE AT (360) 416-6623 / GZGYMNASTICS@GMAIL.COM If you begin classes in the middle of a month your bill will be prorated for the balance of that month. You must have and keep a current credit card on file with Ground Zero Gymnastics, L.L.C. A monthly reoccurring $15.00 "Late Fee" will be assessed on any account not paid by the 7th day of each month, the credit card on file will be charged on the 8th day of the month along with the late fee. In the event of an NSF check, a $75.00 fee will be applied to your account, and the full payment will be due immediately. The NFS fee may be run additional time accruing another $75 fee. If session fee and NFS fees are not paid immediately, your credit card on file will be charged. All Families Are Required To Have A Current and Active Credit Card On File.
**Effective September 1, 2019, we will only offer the 1st of the month as your choice for autopay.