Elite Tumbling Academy Participation & Liability Waiver
Required to sign up for any classes held at Elite Tumbling Academy
Participant's Name (Child):
First Name
Last Name
Parent/Guardian Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Acknowledgment and Assumption of Risk: I understand that tumbling, cheerleading, and related activities involve inherent risks, including but not limited to: sprains, strains, broken bones, and other physical injuries. I voluntarily assume all risks associated with my child’s participation at Elite Tumbling Academy.
Release of Liability: I hereby release and discharge Elite Tumbling Academy, its owners, coaches, instructors, affiliates, and facility partners (including Esprit De Corps Dance Company and Craig Anderson, property owner) from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, injury, or damage that may occur during participation in any program, class, event, or use of the gym.
Medical Treatment Authorization: In the event of an emergency, I authorize the staff of Elite Tumbling Academy to seek medical treatment for my child if necessary. I understand I am responsible for any and all medical costs incurred.
Media Release Please check one:
I give permission for my child’s photo/video to be used on social media or promotional material.
I do not give permission for media use.
Medical History / Prior Injuries: Please list any current or previous injuries, physical limitations, or medical conditions that may affect your child’s ability to safely participate in tumbling activities. (Examples: past fractures, back pain, asthma, surgeries, etc.) Medical Conditions/Injuries (if any):
I confirm that I have read, understood, and agree to the terms outlined above.
Agreement and Signature: By signing below, I acknowledge that I have read, understood, and agree to the terms of this waiver and consent form. I confirm that my child is in good physical condition and able to participate.
Full Name
First Name
Last Name
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