LV Elements Gym Rental Forms

6560 Spencer Street A2 - Las Vegas, NV 89119 Phone: (702) 791-0055 - Fax: (702) 791-0054- Email: admin@lasvegaselements.com
Program Name*
Address*

Program Address

Street Address Line 2

CitySTZIPState / Province

Postal / Zip Code
Contact Person*
Contacts Number*
Contacts Email*
example@example.com
This document serves as a contract between*
Nane of Program
and Las Vegas Elements Training Center, LLC (LVE LVE agrees to rent out their "Competition Floor" to:
Team Name
Rental Date

MonthDayYear
Date
Start Time**

Hour Minutes

AM/PM Option
End Time**

Hour Minutes

AM/PM Option
*If you have not spoken to Char prior to filling out this form, your times may not be guaranteed
Number of Participants*
For use as a practice floor at the rate of:
$125 per hour for Front Gym 9 panel Competition Spring Floor usage for how many hours?
$125 per hour for Back Gym 9 panel Competition Spring Floor usage for how many hours?
$50 per hour for Back Gym 4 panel Foam Floor usage for how many hours?
Rentals do not include the use of the Tumble Trak, Rod floor, or any Gymnastics equipment.
A 50% deposit is due at time of booking and the balance due at rental time. We accept Visa, Mastercard, business checks (payable to Las Vegas Elements), and cash. Booking must be cancelled within 30 days prior to day booked or your deposit will be forfeited. LVE assumes no liability for injury sustained by any athlete using the floor. Also, if the floors, mirrors, sound systems or other equipment is damaged in any way while being rented, the renter will assume full monetary damage repair for replacement costs including labor. This agreement between the parties involved is in effect during the entire rental period. LVE will open and close the Gym in a timely manner. Each athlete must have a parent or guardian sign a LVE Gym Liability Waiver. Coaches must also sign the Code of Conduct form and return both forms to LVE BEFORE gym rental takes place. LVE will not provide your team with waivers upon arrival.
Signature of Renter and Title*

Clear
Date*

MonthDayYear
Date
CODE OF CONDUCT
As a coach/program owner/director of (team name)*
athletes and spectators must follow these rules to stay in good standing:

1. The sound level must be kept to a minimum.

2. Spectators must remain in the designated parent viewing are and are not allowed in the gym area except to use the restroom. Spectators must not distract the coaches or athletes during practice.

3. Parents must monitor siblings and siblings must sit with a parent at all times. No siblings are allowed on the floor unless they are participating in the gym rental practice.

4. The gym must be kept tidy. Users are responsible for picking up trash and belongings, leaving the gym as tidy as they found it.

5. Absolutely no food, chewing gum, or drinks (excluding water) allowed in the gym. These items must be kept in the designated team areas.

6. Any team who's athletes, staff or parents are disrespectful to other renters, LVE Staff or LVE students will be asked to leave immediately and will not be refunded.

By signing this Code of Conduct, I agree to abide by the above rules.
Printed Name*
Signature*

Clear
Date*

MonthDayYear
Date
6560 Spencer Street A2 - Las Vegas, NV 89119 Phone: (702) 791-0055 - Fax: (702) 791-0054
LIABILITY WAIVER
Date*

MonthDayYear
Date
Name of Participant*
Birth Date*

MonthDayYear
Date
Age*
Parent or Guardian Name*
Program Name if with floor rental group*
AddressCitySt*
Phone Number*
Please enter a valid phone number.
Contact Email*
example@example.com
Insurance Carrier*
Policy No*
Allergies/Physical/Mental limitations*
Emergency Contact*
Phone Number*
Please enter a valid phone number.
Type a question*

Private LessonTrial ClassFloor RentalIndependant Work Out (18 or over)
ACKNOWLEDGEMENT, AUTHORIZATION AND RELEASE FORM

I, the undersigned Parent/Guardian, do hereby give consent for my son/daughter to participate in the training and activities provided by the Las Vegas Elements Training Center, LLC. (LVE I am fully aware of the nature of the activities involved and the possibility of injuries and/or death, which may arise from such activities. I do hereby grant my permission to LVE to seek immediate treatment for my child should he/she be injured. I hereby release LVE including its officers, shareholders, agents, coaches, and employees from any liability to the above named participant, or any person claiming through him/her, arising from injury to the person or property of the above-named participant. This release includes any claims of negligence, and is intended to be as broad as permissible under Nevada state law. In the event of any activities that are locally or nationally televised, I give the LVE organization the right and permission to film, photograph, or videotape my son/daughter for any reproductions associated or in any way connected with said televised events, in particular, for use in any promotional purpose.
ParentGuardian Signature*

Clear
Date*

MonthDayYear
Date
CREDIT CARD AUTHORIZATION FORM
Please check one (LVE does not accept American Express)*

VisaMastercardDiscover
Name as it appears on Credit Card:*
Expiration Date*

MonthDayYear
Date
Security Code*
Address*

Billing Address

Street Address Line 2

CityState

Zip
SIGNATURE OF CARD HOLDER*

Clear
Date*

MonthDayYear
Date
Cardholder's Phone Number*

Please write each digit of the Credit Card Number in the 16 blocks provided below:*

	.	.	.	.	.	.	.	.	.	.	.	.	.	.	.	.
CC #

I authorize Las Vegas Elements Training Center LLC to charge the above card for the following transactions*
Please Check one or both*

Deposit upon receipt of rental agreementRemaining balance on the day of rental
Amount of Deposit*
Amount of Remaining Balance*
Please note you may pay the remaining balance in cash, cashier's check, money order or card ONLY no personal or program checks will be accepted
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

CODE OF CONDUCT

LIABILITY WAIVER

CREDIT CARD AUTHORIZATION FORM