Gymnastics Liability Waiver Form
Please complete this waiver to participate in gymnastics activities. All information is required for safety and compliance.
Participant's Full Name
*
First Name
Last Name
Participant's Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Participant's Email Address
*
example@example.com
Guardian/Parent Full Name (if participant is under 18)
First Name
Last Name
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Emergency Contact
*
Please Select
Parent
Guardian
Sibling
Friend
Other
Class or Session Name
*
Please list any allergies or medical considerations (if none, write 'None')
*
Submit Waiver
Should be Empty: