Resilience Gymnastics Academy Birthday Party/Open Gym/Special Event Liability Waiver

Resilience Gymnastics Academy Liability Waiver

Required waiver for participation in parties and events hosted by Resilience Gymnastics Academy. Please complete all sections below.
Participant's Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Participant's Address

Street Address

Street Address Line 2
CityStateZip Code
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Event Type
Event Date

MonthDayYear
Date
Host/Group Name
Additional Participants
Additional Participant 1 First Name
Additional Participant 1 Last Name
Additional Participant 1 Date of Birth

MonthDayYear
Date
Additional Participant 2 First Name
Additional Participant 2 Last Name
Additional Participant 2 Date of Birth

MonthDayYear
Date
Additional Participant 3 First Name
Additional Participant 3 Last Name
Additional Participant 3 Date of Birth

MonthDayYear
Date
Additional Participant 4 First Name
Additional Participant 4 Last Name
Additional Participant 4 Date of Birth

MonthDayYear
Date
Acknowledgment and Agreement

I recognize that severe injuries, including permanent paralysis or death can occur in sports or activities involving height or motion; those activities include but are not limited to gymnastics, tumbling, trampoline, movement education, dance and stunting. I also realize that my child(ren) will be performing and training on all gymnastics events plus various training devices, including trampoline. I certify that I have consulted a physician, to the extent that I deem appropriate, concerning my child(ren)s participation in these activities and certify that they are medically fit to participate. I ACCEPT ALL RISKS.In consideration of my child(ren)'s participation I hereby release RGA from any and all present and future claims resulting from ordinary negligence and / or gross negligence on the part of RGA or others listed, or for property damage, personal injury, or wrongful death, flu, covid-19 or any other health conditions, arising as a result of my child(ren)'s engagement in or receiving instruction in any activities. I hereby voluntarily waive any and all claims resulting from ordinary negligence and / or gross negligence, both present and future, which may be made by me, my child, my family, estate, heirs or assigns. My child(ren) is voluntarily participating in these activities with full knowledge and acceptance of these reasonably foreseeable risks involved and I, do hereby freely and voluntarily agree to accept any and all inherent risks of property damage, personal injury or even death.
Signature of Participant or Parent/Guardian
Printed Name of Signatory
Date Signed

MonthDayYear
Date
Should be Empty:

Resilience Gymnastics Academy Liability Waiver