ASSUMPTION OF RISK, WAIVER OF LIABILITY, AND MEDICAL AUTHORIZATION

In consideration for allowing my child(ren) to use these facilities, I, on my behalf of my child(ren) and as legal parent/guardian, I recognize what potentially severe injuries, including permanent paralysis or death can occur in sports or activities involving height or motion, including but not limited to gymnastics, tumbling & trampoline, birthday parties, special events & activities including inflatables, camps, parent participant activities and any and all other programs offered at Gymagic Gymnastics. Being fully aware of these dangers, I voluntarily consent to the aforementioned person(s) participating in any and all Gymagic Gymnastics programs and activities and I ACCEPT ALL RISKS associated with that participation. By your attendance in class or events at Gymagic Gymnastics, you are granting your permission for you and your child to be filmed, videotaped, audio taped, or photographed by a means and are granting full use of your likeness, voice, and words without compensation. In the event of an emergency I would like my below mentioned child(ren) to be taken to a hospital for medical treatment and I hold Gymagic Gymnastics and its representatives harmless in their execution of this action. Additionally, I hereby agree to individually provide for all possible future medical expenses which may be incurred by my child as a result of any injury sustained while participating at or for Gymagic Gymnastics.  I have read and understood this ASSUMPTION OF RISK, WAIVER OF LIABILITY & MEDICAL AUTHORIZATION. 

           

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Participants Name

          

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Parent’s Name   

                                                                                   

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Phone/ Cell

         

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Address            

                                                                                     

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City                                State                Zip

         

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Parent/ Legal Guardian Signature and Date