Participation Waiver

Participation Waiver

A waiver on file is required for all participants and must be signed annually. Participants will be considered as anyone who is on the floor. Children 4 and under are permitted to have a chaperone on the floor so long as the chaperone is not using the equipment.
Is the participant at least 18 years of age?*

NoYes
Participant's Name*

First NameLast Name
Participant's Date of Birth*

MonthDayYear
Date
Parent or Guardian Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Consent to Participate*

I agree to the participation wavier.
Waiver of Liability & Release Form
I am aware of the nature of this activity and I hereby assume responsibility for the participant listed above to participate. I acknowledge that, while not common, any activity that involves height and motion (such as bounce houses, tumbling and stunting) involves risk of injury ranging from minor (bruises and sprains) to more serious and catastrophic injuries. I will not hold TGC (Tullahoma Gymnastics and Cheer) or its employees responsible in the case of accident or injury as a result of this participation. I understand that this completed form must be in the possession of TGC prior to participation in any program. If, at any point, I have a question or a concern regarding the safety of my child or the intent of the program, I will contact the owner, manager or instructor immediately. I also allow the participants listed to be photographed and videotaped for publicity and advertising purposes only.
Signature*

Clear
Should be Empty: