Registration

Registration

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This is an evaluation for a tops program for all team athletes. Any competitive gymnast from any gym is welcome to participate.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type
	Home Phone:	Cell #: Work #:
	Email:	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)

Students entered below will be added to your family's account

Questions/Options:


Which competitive team do you compete on?*

Additional Information:

Tuition/ Classes

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I've read the above and agree.

Tuition/ Classes Continued

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I've read the above and agree.

Assumption of Risk

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I've read the above and agree.

Release of Liability

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Release of Liability Continued

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5. Participants hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Gulf Breeze Gymnastics, LLC (dba The FunPlex) from any and all claims, demands, or causes of action, which are in any way connected with our participation in this activity or our use of Gulf Breeze Gymnastics, LLC (dba The FunPlex) equipment or facilities, including and such claims or actions which may allege negligent acts or omissions of Gulf Breeze Gymnastics, LLC (dba The FunPlex), their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf. We hereby give our consent to Gulf Breeze Gymnastics, LLC (dba The FunPlex) to provide customary athletic training attentions, transportation, and emergency medical services reasonably warranted in the course of our participation.

6. In the event I file a lawsuit against Gulf Breeze Gymnastics, LLC (dba The FunPlex), I agree to do so solely in the state of Florida, and I further agree that the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state.

7. Should Gulf Breeze Gymnastics, LLC (dba The FunPlex) or anyone acting on their behalf be required to incur attorney's fees and costs to enforce this agreement, we agree to indemnify and hold Gulf Breeze Gymnastics, LLC (dba The FunPlex) harmless for all such fees and costs.

8. We certify that we have adequate insurance to cover any injury or damage we may cause or suffer while located on Gulf Breeze Gymnastics, LLC (dba The FunPlex) property, or else we agree to bear the costs of such injury or damage ourselves. We further certify that we have no medical or physical condition that could interfere with our safety in this activity, or else we are willing to assume all risks and bear all costs of any resulting injury or damage directly or indirectly related to any such condition.

9. By signing this document, we acknowledge that if anyone is hurt or property is damaged during our participation in this activity, or while observing similar activities, we may be found by a court of law to have waived our right to maintain a lawsuit against Gulf Breeze Gymnastics, LLC (dba The FunPlex) on the basis of any claim from which we have assumed the risk and/or released Gulf Breeze Gymnastics, LLC (dba The FunPlex) from as described in this agreement.

I've read the above and agree.

Enter your Full Name:

*

Other Questions/Comments:

Credit Card Verification:

Card Number: *

Name as it appears on card: *

Nickname:

Card Expiration Month: *

Exp Year: *

Address Line 1:

Address Line 2:

City:

State: Zip:*