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Too Busy to Browse
Menu
Programs
All-Star Cheer
Gymnastics
Dance
Tumbling
Preschool Classes
Ninja Warrior
School Teams
Session Teams
Private Lessons
Licensed Preschool
After School Care
Events
Birthday Parties
Lock Ins
Summer Programming
Upcoming Events
Daytime Playtime
Open Gym
Field Trips
Helpful Links
Waiver
Our Facility
Core Values
Job Postings
Junior Coach
Blog
ProShop
Parent Portal
NEW MEMBER SPECIAL
Waiver
Waiver
WAIVER
Waiver and Release of Liability and Hold Harmless Agreement
"
*
" indicates required fields
Parent or Guardian Name
*
First
Last
Phone
*
Email
*
Participant's Name
*
First
Last
Participant's Date of Birth
*
MM slash DD slash YYYY
School Name
*
Insurance Carrier
*
Allergies, Medications, Special Conditions:
Please List Any Allergies/Medical Conditions We Need To Be Aware Of.
I authorize participation in the following activities.
*
Birthday Party
Gym Tour
School Team
Classes, Camps, and Clinics
Victory Preschool
Private Lessons
Minor Staff
Adult Staff
Parent Consent to Participate
*
By signing this form, I understand that tumbling/stunting and activities have risks, dangers, and hazards, and participation in such activities and/or use of such equipment may result in injury including, but not limited to bodily injury, strains, fractures, and other serious disabilities.
By signing this form, I, and my heirs agree to release, waive, discharge, hold harmless, defend and indemnify these classes (Victory Cheer & Tumble) and its instructors from any and all claims, actions, or losses for bodily injury, property damage, wrongful death or otherwise which may arise out of my use of equipment or my participation.
By signing this form, I understand no medical insurance benefits will be provided during this activity, and I will be responsible for any medical bills that may result from participating.
I agree to the participation waiver.
Parent or Guardian's Signature
*