I do hereby grant permission for my daughter/son (participant) to participate in the activity of gymnastics, cheerleading, tumbling/acrobatics, and all related fitness and exercise related activities at Fusion Tumbling and Fitness, LLC. In order that my daughter/son may receive the necessary medical treatment in the event she/he may sustain injury or illness during participation in this activity, I hereby authorize the gym instructor or other supervisor to obtain medical treatment for my daughter/son for any such injury or illness during the activity. I understand that this activity involves risk to the participant.
I further acknowledge and understand that due to the nature of this activity, which involves inversion and rotation of the body, there is a possibility that my daughter/son may sustain physical illness or injury (minimal, serious, or catastrophic), in connection with her or his participation. I further acknowledge and understand that my daughter/son is assuming the risk of such illness or injury through her/his participation, and I further release Fusion Tumbling and Fitness, LLC, and its staff, agents, employees and representatives from any and all claims for personal illness or injury that my daughter/son may sustain during participation in said activities. I further understand that Fusion Tumbling and Fitness, LLC has established rules and regulations pertaining to conduct, behavior and activities of all participants, by which my daughter/son must abide during participation in said activities, and that my daughter/son and I will be responsible for her/his failure to abide by those rules and regulations.
I further grant permission to Fusion Tumbling and Fitness, LLC to photograph my daughter/son during the aforementioned activities for use in publications and advertisements to promote Fusion Tumbling and Fitness, LLC.
GYMNASTICS, TUMBLING AND CHEERLEADING ATHLETICS including but not limited to stunting, jumping, cheerleading, dancing, USE OF THE TUMBL TRAK, conditioning and related exercises/ physical activities. Instruction can be done in a camp, clinic, class or team practice setting.
FITNESS AND EXERCISE including but not limited to personal and group workouts, dance, yoga, conditioning and related exercises / physical activities.
This release is in effect for a full year from the date this is signed. This form must be kept current and it is the participant's parent or guardian's responsibility to notify Fusion Tumbling and Fitness in writing with any proposed changes.