Drop In Registration

Child Name 1 *
Child Name 1
Child 1 DOB *
Child 1 DOB
Tell us more about your child, so we can make this a great experience!
Child Name 2
Child Name 2
Child 2 DOB
Child 2 DOB
Tell us more about your child, so we can make this a great experience!
Guardian Name *
Guardian Name
Phone *
Phone
Attending *
Open Play Rules & Policies *
____ I will be responsible for my child’s safety at all times. ____ I will remain within arms reach of my child at all times. ____I understand that adults are not allowed on the equipment or in the pit for any reason. If my child needs assistance in the pit, I will ask for a staff member to assist us. ____ I understand that food and drink of all kinds are not allowed in the gym area. ____ I understand that if at anytime, my child’s behavior becomes disruptive or inappropriate, we will be asked to leave. ____ I understand that there is no cell phone use allowed in the gym at any times. ____ I understand that non-staff members are not permitted to photograph/videotape in the gym or other common areas in an effort to protect our student’s privacy.
Waiver & Release *
Release of Liability: The Renaissance Gymnastics Academy, Inc., its coaches, other staff members, and the corporate officers both paid and volunteer will not accept responsibility for injury sustained by any student during the course of gymnastics and dance instruction, or open work out, or in the course of any exhibition, competition or clinic in which he or she may participate or while traveling to of from the event. With the above in mind, and being fully aware of the risks involved, I consent to have my child(ren) participate in the programs offered by Renaissance Gymnastics Academy, Inc. I, my executors, or other representatives, waive and release all rights and claims for damages that I or my child(ren) have against Renaissance Gymnastics Academy, Inc. and/or its representatives, paid or volunteer. I also affirm that I now have and will continue to provide proper hospitalizations, health and accident insurance coverage which I consider adequate for my child's and my own protection, I also understand that it is the parents’ responsibility to warn the child of the dangers of gymnastics and dance and injury. The parent should warn the child according to what the parent feels appropriate. Renaissance Gymnastics Academy, Inc. will only warn the child through “safety messages” and our teaching styles and progressions. Assumption of Risk: We the staff of Renaissance Gymnastics Academy, Inc recognize our obligation to make our students and their parents aware of the risks and hazards associated with the sport of gymnastics and dance. Students may suffer injuries, possibly minor, serious, or catastrophic in nature. Gymnastics and Dance can be dangerous and can lead to injury. Parents should make their children aware of the possibility of injury and encourage their children to follow ALL the safety rules and coaches' instruction. Medical Emergency: I fully understand that the Renaissance Gymnastics Academy, Inc. staff members are not physicians or medical practitioners of any kind. With that in mind I hereby release the Renaissance Gymnastics Academy, Inc. staff to render temporary first aid to my child or children in the event of injury or illness, and if deemed necessary by the Renaissance Gymnastics Academy, Inc. staff, to call their doctor and seek medical help, and if deemed necessary for the calling of ambulance for said child(ren).
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