Birthday Party Waiver - GYMNASTIC ACADEMY OF BOSTON

Birthday Party Waiver Form

For birthday parties only! This online waiver is not meant to take the place of enrolling for a camp or special event. Required if not a current student Gymnastic Academy of Boston Norwood.

Birthday Information
Date of Birthday Party*
MM slash DD slash YYYY
Birthday Child's Name*
First Last
Your Child's Information
Child Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Age*
Grade in School*
Gender*
- Male
- Female
Contact Information
Parent/Guardian Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone
Other Phone
Email*
Emergency Contact
Name*
First Last
Relationship*
Phone*
Does the child being registered have any medical conditions or restrictions?*
- Yes
- No
If so, please explain:
Other Phone
Terms of Agreement
Acknowledgment of Risk and Waiver of Liability: As the parents or legal guardians of all students listed above, we hereby give permission for our child to participate in programs at Gymnastic Academy of Boston, Inc. We recognize that gymnastics is a sport that purposes in any medium of advertising, communication, publication or publicity that will promote G.A.B. programs, involves inflatables, height, and rotation of the body and there are inherent risks involved. On behalf of our child and on our own behalf, we agree to waive all claims against Gymnastic Academy of Boston, Inc and its owners, staff and instructors for any liability, loss, cost, damage, medical expense, long-term care or emotional distress arising out of any personal injury, including total disability, paralysis and death, which may occur to any of our children while on the premises of or under the instruction, supervision, or control of Gymnastic Academy of Boston, Inc. We hereby testify to our child’s sound health of mind and body and we authorize Gymnastic Academy of Boston, Inc to seek medical treatment at the nearest medical facility in the event of an emergency. I have read and understand all terms, including the Risk and Waiver of Liability as posted on this form.
*
- I agree to the terms stated on this form.
Legal Guardian/Parent Name*
May we use your child’s photo for advertising purposes?*
- Yes
- No
How Did You Hear About Us?

Birthday Party Waiver Form

Birthday Information

Your Child's Information

Contact Information

Emergency Contact

Terms of Agreement