Athlete Name *

First Name

Last Name

Athlete Birthday *

MM

DD

YYYY

Parent Name *

First Name

Last Name

Parent Phone *

(###)

###

####

Which classes are you interested in for your athlete? *

Competition Gymnastics

Beginner Gymnastics

Preschool Gymnastics

Beginner Tumbling

Recreational Gymnastics

Advanced Tumbling

If referral, who referred you?

First Name

Last Name

Athlete Doctor's Name

First Name

Last Name

Doctor's Phone Number *

(###)

###

####

My child is in good health. *

I, Agree

Safety is Skymax Gymnastics' first priority and we take special measures to make sure that every safety precaution is followed, thereby reducing the chance of injury. It is important to make our students and their parents aware of the risks and hazards associated with the sport of Gymnastics and Tumbling. Students may suffer injuries minor or more serious in nature. In order for my child to be allowed to participate, I hereby release, discharge and/or hold harmless and indemnify Skymax, its officers, employees and associated personnel, from and against any and all demands, claims and causes of action arising, directly or indirectly, from my child's participation in their programs. *

I, Agree

I, the undersigned legal guardian, acknowledge, understand, and agree to the terms of this hold harmless contract. I agree to read the tumbling class rules and policies in addition to reviewing them with my participating child/children. *

I, Agree

I, the undersigned legal guardian, give permission for my child to be photographed or videotaped in Skymax Gymnastics Gym. These pictures may be posted on the gym bulletin boards or business web site. *

Yes

No