Amanda Marie Training | Registration & Liability Waiver

Athlete Name

First NameLast Name

Athlete Age

Current Program, Team, or Experience Level

Activity experience

To help provide individualized coaching, please share any goals, skill progressions, upcoming auditions, or areas of focus the athlete would like to work toward during the intensive.

Parent/Guardian Name

First NameLast Name

Parent Phone

Please enter a valid phone number.Format: (000) 000-0000.

Parent Email

example@example.com

Emergency Contact Name

First NameLast Name

Emergency Contact Phone

Please enter a valid phone number.Format: (000) 000-0000.

Current Injuries/Restrictions

Allergies or Medical Conditions

I, the undersigned parent or legal guardian of the participant listed in this registration form, acknowledge and understand that participation with Amanda Marie Training and related movement programming involves physical activity and inherent risks, including but not limited to falls, collisions, sprains, fractures, illness, and other potential injuries associated with dance, tumbling, acrobatics, conditioning, flexibility training, and athletic movement activities. I certify that the participant is physically able to participate in these activities and agree to disclose any relevant medical conditions, injuries, allergies, or physical limitations that may affect participation. I understand that Amanda Marie Training will take reasonable precautions to promote a safe training environment; however, I voluntarily assume all risks associated with participation. In consideration for participation in this program, I hereby release, waive, and discharge Amanda Marie Training, Amanda Bernett, studio rental facilities, assistants, contractors, and affiliates from any and all liability, claims, demands, actions, or causes of action arising from injury, illness, loss, or damages related to participation in the program, except in cases of gross negligence or willful misconduct.

The following selection serves as my agreement/signature for Liability Waiver acknowledgement.

In the event of illness or injury requiring emergency medical treatment, I authorize Amanda Marie Training and its representatives to obtain emergency medical care for my child if I cannot be reached immediately. I understand that I am financially responsible for any resulting medical expenses.

The following selection serves as my agreement/signature for Emergency Medical Authorization.

PHOTO & VIDEO PERMISSION (Permission may be changed at any time. Amanda Marie Training will always obtain additional permission before sharing any identifiable images on social media or marketing materials.)

Private Rates for | Acro | Acro-dance | Tumbling | are as follows:

Payment can be sent or given at the time of private lessons via:

Venmo (@Amanda-Bernett)
Zelle (314-919-5292)
Check (payable to Amanda Bernett)
Cash

The following selection serves as my acknowledgement of the payment agreement

Date:

Date

Parent/Guardian Name

First NameLast Name

E-signature

Amanda Marie Training | Registration & Liability Waiver

Athlete Information

Liability Waiver

PARTICIPATION WAIVER & RELEASE OF LIABILITY

EMERGENCY MEDICAL AUTHORIZATION

PAYMENT

COMPLETE REGISTRATION