Parent's Night Out- Lucky Charm
Friday, March 8th, 2024  6:30pm - 9:00pm
$30 CASH per student at drop off
Ages 5-12 members and guests welcome
Pizza Dinner, Crafts, Games and Open Gym Time
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Parent Name *
Email *
Phone Number *
Student Name *
Is this student an active gymnast at Leaps? *
I understand that I will have to pay $30 CASH ONLY upon arrival *
Required

Assumption of Risk | Waiver of Liability | Photo Release | Medical Authorization

I recognize that severe injuries, including permanent paralysis or death can occur in sports or activities involving height or motion, those activities include but not limited to gymnastics and tumbling class. Being fully aware of these dangers, I hereby give consent for my child(ren) and myself to participate in any and all Leaps Gymnastics LLC programs and activities and I ACCEPT ALL RISKS associated with this participation. I hereby understand that Leaps Gymnastics LLC facility does not provide supervised child care services. I understand that myself or an arrangement will be made to pick up and drop off my child(ren) at the appropriate time.

In consideration for my own or my child(ren)’s participation I hereby, for myself and my child(ren) and our respective heirs and successors PROMISE NOT TO SUE and FOREVER RELEASE Leaps Gymnastics LLC its officers, directors, shareholders, employees, contractors and volunteers from all liability resulting in damages or injuries incurred as a result of participation.

I am aware that individual and group publicity photos and videos are taken from time to time and in consideration for me or my child(rens) participation I hereby grant my permission for my child’s likeness to be used in Leaps Gymnastics LLC publicity and advertising.

In the event of an accident or emergency I hereby authorize my child(ren) to be transported to a hospital for medical treatment and I hold Leaps Gymnastics LLC and its representative harmless in the execution of such.

Additionally, I hereby agree to individually provide for all medical expenses which may be incurred by myself or my child(ren) as a result of any injury sustained while participating at or for Leaps Gymnastics LLC.

I have read and understand the ASSUMPTION OF RISK, WAIVER OF LIABILITY, PHOTO RELESE, MEDICAL AUTHORIZATION and REGISTRATION and I VOLUNTARILY affix my name in agreement.

By Typing your name here, you agree to the terms and conditions of your child attending Parent's Night Out and complete the registration for the event. *
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