Waiver Form - Aerial Gymnastics Club

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Parent/Guardian Waiver/Release Form for Open Gym
My signature below confirms and consents to the following:
I am fully aware and appreciate the risk, including the risk of catastrophic injury, as well as other damages
and losses associated with
acknowledge and consent to my child being involved in a sport where there can be an accident or injury and
will take full financial responsibility for any loss or damages. I further agree that the Aerial Gymnastics Club,
along with the employees, agents, officers and directors of this organization shall not be liable for any losses
follow the rules.
Your child must be picked up no later than 9:00 P.M. on Saturday evening and no later than 4:15 P.M. on
Sunday afternoon. If a child is picked up past the listed time there will be a $10.00 charge. All participants
must be signed in by a parent, legal guardian or other adult chaperone before they will be allowed in the
f you
are not a member of Aerial Gymnastics Club. A member is such that child is enrolled in the Aerial
Gymnastics Club, has a release form on file and tuition has been paid and is current.
Signature ____________________________
Printed Name _________________________
Member gymnast (name) __________________________
or
Non-Member (name) ______________________________
Emergency Contact _______________________________
Open Gym Hours
Sunday 2:00 P.M.
4:00 P.M.

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