| Cary Gymnastics Center Waiver |
| Address_________________________________________City____________________Zip_______________ |
| Home Phone__________________________ Cell Phone_________________________ |
| Name__________________________________________ |
| B-Day___________________ |
| Participant specifically assumes all risks of injury arising out of his or her presence on or about the premises, or his/her use or intended use of equipment or facilities, or his/her participation in the activities of Cary Gymnastics Center Inc., on or about the premises or at another location and does hereby for himself or herself, his or her heirs, excutors and administrators waive, release and agree to hold free all claims for damages, the Cary Gymnastics Center Inc., and all its respective officers and employees. |
| Parent or Guardian's Signature_________________________________________ Date___________ Parent or Guardian's print name _______________________________________________________ |
| Phone 847-516-1064 www.carygymnastics.com Fax 847-516-0274 |
| E-Mail _____________________________________________________ |
| Age ______ |
| Please fill out completely. Each child must present a waiver in order to participate in any activities. |
 |
| Cary Gymnastics Center Waiver |
| Address_________________________________________City____________________Zip_______________ |
| Home Phone__________________________ Cell Phone_________________________ |
| Name__________________________________________ |
| B-Day___________________ |
| Participant specifically assumes all risks of injury arising out of his or her presence on or about the premises, or his/her use or intended use of equipment or facilities, or his/her participation in the activities of Cary Gymnastics Center Inc., on or about the premises or at another location and does hereby for himself or herself, his or her heirs, excutors and administrators waive, release and agree to hold free all claims for damages, the Cary Gymnastics Center Inc., and all its respective officers and employees. |
| Parent or Guardian's Signature_________________________________________ Date___________ Parent or Guardian's print name _______________________________________________________ |
| Phone 847-516-1064 www.carygymnastics.com Fax 847-516-0274 |
| E-Mail _____________________________________________________ |
| Age ______ |
| Please fill out completely. Each child must present a waiver in order to participate in any activities. |
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