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 FORMMy 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:__________________________
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