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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 to participate in Gymnastics. _______________________________________________________________________________________________________ I hereby give my permission for ________________________________ to participate in Gymnastics on ___________________. My child and I are aware that participating in Gymnastics is a potentially hazardous activity. I assume all risks associated with participation in this sport, including but not limited to falls, contact with other participants, the effects of the weather, traffic, and other reasonable risk conditions associated with the sport. All such risks to my child are known and understood by me. I also realize at no time are adults permitted on the equipment. Signature: ____________________________________________ Date:__________________________
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