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                                                                                         Ann Arbor Gymnastics LLC
                                                                                       D.B.A. Champion Gymnastics
                                                                                                      Consent Form 
                                                                                                          
 
Parent(s) Name ________________________________________________________________________
 
 
Child Name & Age _______________________________________________________________________
 
 
Street Address __________________________________________________________________________
 
 
City/State _______________________________________ Zip Code _______________________________
 
 
Phone #_________________________________________________________________________________
 
 
_______________________________________________________________________________________________________
Please complete the following Consent Form in order for your child or yourself to participate in gymnastics activities at
Champion Gymnastics.
_______________________________________________________________________________________________________

CONSENT FORM

My child and I are aware that participating in Gymnastics and activities involving tumbling and exercise is a potentially hazardous activity.  We assume all risks associated with participation at Champion Gymnastics in this sport, including but not limited to falls, contact with other participants, and other reasonable risk conditions associated with the sport.  All such risks to my child and me are known and understood by us.  I also realize at no time are adults permitted on the equipment.  

 
I hereby give my permission for ________________________________ and or myself to enter and or participate at Champion Gymnastics.
                                             child
                                                                                                                                                                                                      
 
Signature: ____________________________________________  Date:__________________________
 
 
Signature: ____________________________________________  Date:__________________________ 
 
 
Signature: ____________________________________________  Date:__________________________ 
 
 
Signature: ____________________________________________  Date:__________________________ 
 
 
Signature: ____________________________________________  Date:__________________________ 
 
Last Updated on Wednesday, 04 August 2010 04:41