ACRO WORKSHOP Amanda Marie Training | Registration & Liability Waiver

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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

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Parent Phone

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Parent Email

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Emergency Contact Name

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Emergency Contact Phone

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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.

The following selection serves as my agreement/permission for Photo & Video Use.

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Date:

Date

Parent/Guardian Name

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Acro Workshop | Training Sign-Up & Liability Waiver

Welcome!

Athlete Information

Liability Waiver

PARTICIPATION WAIVER & RELEASE OF LIABILITY

EMERGENCY MEDICAL AUTHORIZATION

PHOTO & VIDEO PERMISSION

PAYMENT