Alma Tumbling and Athletics Registration Form
Student Name
First Name
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Year
Gender
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Male
Female
Parent/Guardian Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
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Parent/Guardian E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Emergency contact (if different)
Format: (000) 000-0000.
Class Options
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Tiny Tumblers
L1
L2
L3
Cheer
Back
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WAIVER – RELEASE FORM As a parent and/or legal guardian of tumbling student __________________________, I hereby waive any right to hold liable instructor Christiana Griffith for any injury that said student incurs while participating in tumbling, which i understand to be a sport in which injuries can occur. I further agree not to hold liable the owners of the premises where my child takes tumbling lessons, Tommy and Angie Davis, for any injury the student incurs. As the parents and/or guardian of said student, I have my own medical insurance and/or coverage and am not expecting either Alma Tumbling and Athletics, Christiana Griffith, or Tommy and Angie Davis to provide any medical coverage/insurance. I do fully understand that injuries and even death can occur to those participating in said activity. My signature below is made with full knowledge of the dangers inherent in physical sports such as tumbling and I hereby waive and release the above named adults from and all medical and/or injury liability related to the above named minor. I understand and agree that a parent/guardian may not sit in on instruction. Signed by parent/or legal guardian: _________________________________ Date:___________________________
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