Butler Gymnastics Club

Butler Gymnastics Club

Birthday Party Release Form
Participant Name

First NameLast Name
Date Of Birth

MonthDayYear
Date
WAIVER OF LIABILITY
I understand that participation in gymnastics activities involves certain risks, including injury. By signing below, I release Butler Gymnastics Club, its staff, and affiliates from all liability for any injury or loss sustained during birthday party activities.

I acknowledge that the Participant will follow all safety rules and instructions. In case of emergency, I authorize Butler Gymnastics Club to seek medical treatment for the Participant, and I accept full financial responsibility for any associated costs.
Photo Release (optional)

Do you consent to the use of the Participant’s photo or video for promotional purposes by Butler Gymnastics Club?
I consentI do not consent
Parent / Guardian Name

First NameLast Name
Signature

Powered by Jotform SignClear
Phone Number
Please enter a valid phone number.
Should be Empty:

WAIVER OF LIABILITY