2026 YMCA GREAT LAKES REGIONAL GYMNASTICS CHAMPIONSHIP WAIVER FORM

Team:*

Gymnast Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Gymnast Competitive Level:*

Graduating Senior?*

YesNo

1. Acknowledgement of Risk
I acknowledge that participation in gymnastics involves inherent risks, including but not limited to serious injury, paralysis, or death. I understand these risks and voluntarily choose to allow my child/myself to participate in the above-mentioned competition.

2. Waiver and Release of Liability
I hereby waive, release, and discharge North Canton YMCA, its officers, directors, employees, volunteers, coaches, and agents from any and all claims, liabilities, demands, and causes of action arising out of or related to any loss, damage, or injury (including death) sustained while participating in the competition or while on premises.

3. Medical Authorization
In the event of an emergency, I authorize North Canton YMCA representatives to obtain necessary medical treatment for my child/myself and agree to be responsible for any costs incurred.

Photo/Video Release - Permission for images or videos taken during the event to be used by North Canton YMCA for promotional purposes, including social media, websites, and printed materials.*

I DO give permission for images or videos to be taken of my gymnastI DO NOT give permission for images or videos to be taken of my gymnast

Name of Parent /Guardian who is signing form*

First NameLast Name

Parent Phone Number:*

Please enter a valid phone number.

Parent email address:*

example@example.com

Parent or guardian signature - I have read and understand this waiver and agree to be bound by its terms*

Date*

Date

2026 YMCA GREAT LAKES REGIONAL GYMNASTICS CHAMPIONSHIP WAIVER FORM

Event Dates: April 10 - April 12, 2026

Event Location: Hoover High School

Host: North Canton YMCA

Waiver Due Date: March 20, 2026