Holiday camps kids and teens

Parents Guardian*

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Email*
example@example.com
Holiday camps

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Student Name*

First NameMiddle NameLast Name
Age
Emergency contact *

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Mobile Number*

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Friday Dec. 27th 10-12pmThursday Jan 2nd 10-12pmFriday Jan. 3rd 10-12pm

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Cirquetastic during the selected class. In exchange for the acceptance of said child’s candidacy by Cirquetastic, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Cirquetastic and all its respective directors, coaches and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected class and sessions.

In case of injury to said child, I hereby waive all claims against Cirquetastic including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including Circus & Trampoline. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Confirmation
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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