| WANT TO TRY A FREE GYMNASTICS CLASS OR HAVE A CHILD THAT MAY BE INTERESTED IN GYMNASTICS AND WANT TO SEE IF THEY WILL LIKE IT? PLEASE CALL 360-698-7709 AND EXPLORE THE POSSIBILITY. PRINT THIS PAGE AND FILL IT OUT AND BRING IT WITH YOU WHEN YOU VISIT US. |
| OGC REGISTRATION FORM |
| In consideration of participating in Olympic Gymnastics Center classes and/or activities I represent that I understand the nature of this Activity and that I am qualified, in good health, and in proper shysical condition to participate in such Activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue particiapation in the activity. I fully understand that this Activity involves risk of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the "releasees" named below; an that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, cost and damages I incur as a result of my participation in the Activity. I hereby release, discharge, and covenant not to sue Olympic Gymnastics Center, its respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered on of the "releasees" herein) from liability, claims, demands, losses, or damages, on my account casued or alleged to be caused in whole or in part by the negligence of the "releasees" of otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim aginst any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost which may incur as the result of such a claim. I have read the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature, and intend it to be complete and unconditional release of all liability to the greatest extent allowed by the law and agree that if any portion of this agreement is held to be invalid the balance, nowithstanding, shall continue in full force and effect. ______________________________________________________________ _________________________ Printed name of participant Date Parental Consent And I, the minor's parent and/or legal guardian, understand the nature of the above referenced activities and the Minor's experience and capabilities and believe the minor to be qualified to participate in such activity. I hereby Release, discharge, covenant not to sue and agree to indemnify and save hold harmless each of the Releasees from all liability, claims, demands, losses or damages on the minor's account caused or alleged to have been caused in whole or in part by the negligence of the Releasees or otherwise, including negligent recue operations, and further agree that if, despite this release, I, the minor, and anyone on the minor's behalf makes a claim against any of the above Releasees, I will indemnify, save and hold harmless each of the Releasees from any litigation expenses, attorney fees, loss liability, damage, or cost any Releasee may incur as result of any such claim. ______________________________________________________________ _________________________ Printed name of Parent/or Legal Guardian Date ______________________________________________________________ _________________________ Signature of Parent/ or Legal Guardian Date |
| STUDENT NAME:______________________________________________ AGE:__________ DOB:____________________ STUDENT NAME:______________________________________________ AGE:__________ DOB:____________________ STREET ADDRESS:_______________________________________________________________________________________ CITY:_____________________________ ZIP:_________________ HOME PHONE:_________________________________ FATHER'S NAME:_______________________________________________ WORK #:________________________________ CELL #: _____________________________ OCCUPATION:_____________________________________________________ MOTHER'S NAME:______________________________________________ WORK #:________________________________ CELL #: _____________________________ OCCUPATION:_____________________________________________________ ALTERNATIVE CONTACT:______________________________________________ PHONE:_________________________ PHYSICIAN:________________________ PHONE:__________________ PREFERRED HOSPITAL:____________________ MEDICAL INSURANCE:__________________________________________ INSURANCE #:__________________________ |
| RELEASE and WAIVER of LIABILITY, ASSUMPTION of RISK, and INDEMNITY AGREEMENT |
| Please click HERE to get 2nd page of the registration and enrollment forms. Please bring both forms to the gym when you attend you first class!! |
| PLEASE ALSO MAKE SURE THAT YOU PRINT OFF THE 2ND PAGE ALONG WITH THIS ONE WHEN YOU COME FOR YOUR FREE CLASS (SEE THE GREEN HERE AT BOTTOM OF PAGE) |