Heidi's Gymnastics Consent Form

You're braver than you believe, stronger than you seem, and smarter than you think.
- Christopher Robin (Winnie The Pooh)

* denotes a required field

Year 2026 2027 2028 Minor Consent and Assumption of Risk Statement

 

In consideration of participation in Heidi's Gymnastics Phil 4:13 program, and being allowed to participate in Heidi's Gymnastics Phil 4:13 events and/or activities, the parent(s) and/or legal guardian(s) of the minor participant named below agreed:

1. The parent(s) and/or legal guardian(s) consent(s) to and will instruct the minor participating in any Heidi's Gymnastics Phil 4:13 events and activities and regularly thereafter, that he or she should inspect the facilities and equipment to be used and if he or she believes anything is unsafe, the participant should immediately advise the instructor of such condition and refuse to participate.
    
2. Participant shall be instructed to and shall carefully review and follow all safety guidelines.
    
3. I/We fully understand and will instruct the minor participant that:
    
   
   1. There are risks and dangers associated with participation in gymnastic events and activities including but not limited to those of bodily injury, partial and/or total disability, paralysis, and death.
       
   2. The social and economic losses and/or damages, which could result from those risks and dangers described above could be severe.
       
   3. The risks and dangers may be caused by the negligence of the participant or the negligence of others.
       
   4. There may be other risks not known to us or are not reasonably foreseeable at this time.
       
4. I/We accept and assume such risks and responsibilities for the losses and/or damages following such injury, disability, paralysis or death, however caused or alleged to be caused in whole or in part by the negligence of Heidi's Gymnastics Phil 4:13 event hosts, other participants, coaches, instructors, officials, sponsors, advertisers, owners and lessees of the premises used to conduct the event or activity and each of them, their officers, directors, agents, and employees.
    
5. I/We agree that this Consent and Assumption of Risk Statement covers each and every event or activity sponsored by Heidi's Gymnastics Phil 4:13.
    
6. I have read all registration materials and guidelines thoroughly and understand and agree to all policies and procedures required of my child(s) participation in Heidi's Gymnastics Phil 4:13.
    

I/WE HAVE READ THE ABOVE WAIVER AND SIGNED IT VOLUNTARILY.

 

Parent or Guardian Name/Electronic Signature    *      

Relationship    *

Date     *

Participant     *

Address of Participant   *

City   *   State   *    Zip   *

 

I understand that this Consent Form may be delivered electronically. By clicking 'Submit', I acknowledge and agree that my electronic signature is legally binding and equivalent to my manual, handwritten signature. I am authorized to sign this agreement, and I affirm that my electronic signature was executed by myself with full knowledge and intent.

 

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