Open Gym Form

PLEASE FILL OUT FORM. MUST BE COMPLETED EACH VISIT. Feel free to bookmark this form to complete it before you get to the gym

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Email *
Name of person completing this form *
Parent Name (if under 18):
Athlete Name: *
Athlete Cell Number: *
Athlete Birthdate: *
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Emergency Contact Name: *
Emergency Contact Number: *
Release

By signing Below, I do hereby understand the rules of Open Gym and am physically prepared to participate in the sport of cheerleading/gymnastics at West Coast Rush. In order that my daughter/son/I may receive the necessary medical treatment in the event he/she/I may sustain injury or illness during participation in this sport, I hereby authorize the cheerleading coach or other supervising adult to obtain medical treatment for my daughter/son/ I for such injury or illness during the sport, and I hereby hold West Coast Rush and any of its representatives harmless in the exercise of authority. I am here with my parent's permission.

I understand that this sport involves risk to the participant. I further acknowledge and understand that due to the nature of this sport, which involves inversion and rotation of the body, there is a possibility that my daughter/son/I may sustain physical illness or injury (minimal, serious, or catastrophic), in connection with her or his participation. I further acknowledge and understand that my daughter/son/I is/am assuming the risk of such physical illness or injury by his/her participation, and I further release West Coast Rush and its representatives from any claims for personal illness or injury that daughter/son/I may sustain during participation in this sport.


By checking the box below I certify that I am the legal guardian of athlete and/or am over 18 and/or I am attending Open Gym with my Parent's permission/consent.  I have read, acknowledge and understand the statement above. *
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