34016 9th Avenue South, Suite D-5, Federal Way, WA 98003
(253) 815-0998
In CONSIDERATION of membership in the United States Gymnastics Federation, hereinafter referred to as the "USGF, USAG, USAIGC", and being allowed to participate in USGF, USAG,USAIGC events and/or member club activities, the parents(s) and/or legal guardian(s) of the minor participant named below agreed:
1. The parent(s) and/or legal guardians) to and will instruct the minor participating in any USGF, USAG, USAIGC and/or member club activity or event and regularly thereafter, that he or she should inspect the facilities and equipment to be used, and if he or she believes anything is unsafe, the participant should immediately advise the instructor of such condition and refuse to participate.
2. Participant shall be instructed to and shall carefully review and follow all USGF, USAG, USAIGC Gymnastics Safety Guidelines.
3. I/We fully understand and will instruct the minor participating in gymnastic events and activities including:
a. There are risks and dangers associated with participation in gymnastics events and activities including but not limited to those of bodily injury, partial and/or total disability, paralysis and death.
b. The social and economic losses and/or damages, which could result from those risks and dangers described above, could be severe.
c. These risks and dangers may be caused by the negligence of the participant or the negligence of others.
d. There may be other risks not known to us or are not reasonably foreseeable at this time.
4. I/we accept assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis, or death, however caused or alleged to be caused in whole or in part by the negligence of the USGF, USAG, USAIGC, its member clubs, event hosts, other participants, coaches, instructors, officials, sponsors, advertisers, owners and lessees of the premises used to conduct the event or activity and each of them, their officers, directors, agents and employees.
5. I/we agree that this Consent and Assumption of Risk Statement covers each and every event or activity sponsored by the USGF, USAG, USAIGC and/or its member clubs.
6. 1 hereby grant permission for photographs and video clips of my child to be taken and used in news stories, ads and gymnastics publications inside and outside of Gymnastics Unlimited, Inc.
I/WE HAVE READ THE ABOVE WAIVER AND SIGN IT VOLUNTARILY
Parent Signature Date
Printed name of Participant(s) / Gymnast(s) M T W TH F SA Time of trial class
Printed name(s) of Parent(s) How did you hear about Gymnastics Unlimited?
GYMNAST’S INFORMATION
|Last name First name MI |Date of birth |
|Address |Class Attending |
|City State Zip |Phone number |
OTHER PARTICIPATING CHILD’S NAME
|Member #1 Date of birth |
|Member #2 Date of birth |
|Member #3 Date of birth |
PARENTAL INFORMATION
|Mother’s name