I understand participation in tumbling, fitness and gymnastic athletics can be extremely valuable experience for young people. Azarian U.S. Gymnastics Training Center, Inc. makes every reasonable attempt to employ qualified coaches, supply athletes with proper equipment and facilities, and provide athletes with opportunities to develop and maintain physical fitness. However, athletes are exposed to moving objects, various surfaces, and other training and competitive conditions that can cause injury and / or death.
I, as the athlete and/or parent, recognize that severe injuries, including permanent paralysis or death can occur in sports or activities involving height or motion, those activities including, but not limited to gymnastics, physical fitness training, tumbling, dance, and cheerleading. Being fully aware of such risks of injury, I hereby agree and/or give consent for my child(ren) to participate in any and all Azarian U.S. Gymnastics Training Center, Inc. programs and activities and I ACCEPT ALL RISKS associated with this participation. In consideration for my or my child(ren)'s participation, I hereby, for myself or my child(ren) and our respective heirs and successors, FOREVER RELEASE Azarian U.S. Gymnastics Training Center, Inc., its officers, directors, shareholders, employees, contractors and volunteers from all liability resulting from damages or injuries incurred as a result of my child(ren)'s participation in all activities including those resulting from acts of negligence.
In the event of an accident or emergency, I hereby give my consent and/or authorize my child(ren) to be transported to a hospital for medical treatment and I hold Azarian U.S. Gymnastics Training Center, Inc. and its representatives harmless in the execution of such transportation and treatment. Additionally, I hereby agree to individually provide for all medical expenses which may be incurred by myself and/or my child(ren) as a result of any injury sustained while in participation at or for Azarian U.S. Gymnastics Training Center, Inc. I am aware that individual and group publicity photos and videos are taken from time to time and in consideration for my or my child(ren)'s participation I hereby grant my permission for my child(ren)'s likeness to be used in Azarian U.S. Gymnastics Training Center publicity and advertising.
I have read and understood this ASSUMPTION OF RISK and WAIVER OF LIABILITY and MEDICAL AUTHORIZATION and PHOTO RELEASE and I VOLUNTARILY affix my name in the agreement below.
[signature signature-337 id:signature-field class:sig color:#000000 background:#eeeeee cols:480]
Discounts: Receive a $5 discount for siblings. Members receive $5 off.
Some Camp Rules:
1st Child: $
2nd Child: $
3rd Child: $
4th Child: $
Sibling Disc.: $
Member Disc.: $
Total Amount Due: $
Payment: Please select one
I authorize Azarian Gymnastics or its authorized agent to consent to any medical treatment and/or hospital, which is
given to the child, listed on this form,under the supervision of a duly licensed physician or trained medical
personnel. Also, unless otherwise stated, I understand that my child will be participating in a gymnastics related
activity at Azarian Gymnastics. I understand that as with all physical activities, there is a chance for injury. I
therefore hold Azarian Gymnastics; its employees and its officers harmless should any injury occur. Azarian US Gymnastics, Inc.
does not provide care and well-being and will respectfully decline to complete your FSA form requesting out tax ID,
nor will it provide a filled out W-10 upon request.
I agree to allow Azarian Gymnastics to use photographs including the above named minor to be used for marketing purposes.