Drop-in Registration form

Knightdale Gymnastics

2011 Open Gym Waiver Form

Please provide the following information to allow your child(ren) to attend open gym. Once you submit this form will be valid from August 31, 2011 until August 30, 2012.

First Name

Last Name

Age

First Name

Last Name

Age

Parent's names

Mom's Cell number

Dad's Cell number

Home Phone

Email Address

How did you hear about us?

Like any physical activity, participation in gymnastics does involve a certain amount of risk of injury. By permitting this child to participate (or by my participation) in the Knightdale Academy of Gymnastics instructional program I do hereby release Knightdale Academy of Gymnastics, its owners and eployees, jointly and severally from all claims, demands, rights and causes of action of whatever kind and nature arising through or from participation in activities as a student of the Knightdale Academy of Gymnastics.

Agree