As legal guardian of the above named student, I certify that he/she is physically fit to perform in all programs at Gymnastika, is not currently under medical care, and is not receiving medication for any condition which would limit participation in any way, except listed above. I recognize that potentially severe injuries including virus, sprains, broken bones, paralysis or death can occur in any activity involving height or motion and that this risk can never be totally eliminated, even under the supervision of properly trained and qualified instructors using modern & safely designed equipment. Gymnastika, its coaches and other staff members, will not accept responsibility for injuries sustained by any student during the course of gymnastics instruction, open workouts, or in the course of any exhibition, competition, or clinic in which he or she may participate in.