Registration Form (Page 2 of 2) in pdf

Waiver and Release

I fully understand that Gymnastics Unlimited staff members are not physicians or medical practitioners of any kind. With the above in mind, I hereby

release the Gymnastics Unlimited staff to render temporary first aid to my child or children in the event of any injury or illness, and if deemed necessary

by the Gymnastics Unlimited staff to call our doctor and to seek medical help, including transportation by a Gymnastics Unlimited staff member and/or

its representatives, whether paid or volunteer, to any health care facility or hospital, or the calling of an ambulance for said child should the Gymnastics

Unlimited staff deem this to be necessary.

We, the staff of Gymnastics Unlimited recognize our obligation to make our students and their parents aware of the risks and hazards associated with the

sports of gymnastics, tumbling and cheer leading. Students may suffer injuries, possibly minor, serious or catastrophic in nature. Gymnastics, Tumbling

and Cheer leading can be dangerous and lead to injury!

Parents should make their children aware of the possibility of injury and encourage their children to follow all the safety rules and the coaches'

instructions.

Gymnastics Unlimited, its coaches and other staff members, will not accept responsibility for injuries sustained by any student during the course of

gymnastics, tumbling, or cheer leading instruction, or open workouts, or in the course of any exhibition, competition, or clinic in which he or she may

participate while traveling to or from the event.

With the above in mind, and being fully aware of the risks and possibility of injury involved, I consent to have my child or children participate in the

programs offered by Gymnastics Unlimited. I, my executors or other representatives, waive and release all rights and claims for damages that I or my

child may have against Gymnastics Unlimited and/or its representatives whether paid or volunteer.

I also affirm that I now have and will continue to provide proper hospitalization, health, and accident insurance coverage, which I consider adequate for

both my child's protection and my own protection.

I also understand that it is the parents' responsibility to warn the child about the dangers of gymnastics and injury. The parent should warn the child

according to what the parent feels is appropriate. Gymnastics Unlimited will only warn the child through "safety messages" and our teaching style and

progressions.

Insurance Provider _____________________________Any Known Allergies/Medical conditions_______________________

Signature:_______________________________________________ Date:________________________

Email address:_______________________________________ (please print clearly)