Student Waiver and Registration

TRIUMPH GYMNASTICS ACADEMY
Club Waiver
I fully understand the Triumph Gymnastic Gymnastics Staff members are not acting as medical professionals. With the above in mind, I hereby release the Triumph Gymnastics Academy staff to render first aid to my child or children in the event of any injury or illness, and if deemed necessary by Triumph Gymnastics Academy staff to call a doctor and to seek medical help, including transportation by a Triumph Gymnastic Academy staff member or its representatives to any health care facility or hospital, or the calling of an ambulance for said child/children should the Triumph Gymnastics Academy staff deem this to be necessary.
RELEASE OF LIABILITY, WAIVER OF LIABILITY_
ASSUMPTION OF FULL RESPONSIBILITIES FOR ALL RISK OF
BODILY INJURY, DEATH, OR DAMAGES

As a parent or legal guardian of ______________________________________, I give my consent for him/her to participate in the programs at Triumph Gymnastics Academy. I understand that participation in gymnastics, cheerleading, acro-dance, and other related activities may result in unavoidable injuries due to the heights and motions involved. These injuries may include muscle strains and tears, broken bones, and severe injuries such as a permanent paralysis or death. I am fully aware of the risks and possibility of injury involved.

As a parent or legal guardian, I agree to provide health insurance for the minor child/children or guarantee payment of any medical expenses incurred as a result of training, performing, or participation in activities at Triumph Gymnastics Academy.

I understand it is this gym’s express intent to provide for the safety and protection of my child and in consideration for allowing the above named minor child/children to participate in activities with Triumph Gymnastics Academy, I waive any and all right or causes of action against Ana Maria Kuefner and Horst Michael Kuefner, and /or Triumph Gymnastics Academy for any injuries suffered by my child/children and other damages suffered by my child/children or myself while under the supervision or control of Triumph Gymnastics Academy and its employees. It is also my intent to release Triumph Gymnastics Academy and its employees from liability for further negligent conducts.

I permit Triumph Gymnastics Academy to use images of my child in internal and external promotion material. This includes any print material, broadcasting, and print advertising, promotional videos and the Triumph Gymnastics Academy website which is to produces or published by Triumph Gymnastics Academy. I also permit Triumph Gymnastics Academy to use images of my child /children in broadcast and print media news coverage of Triumph Gymnastics Academy.

This acknowledgement and acceptance of risk and WAIVER OF LIABILITY has been read by me and understood completely and signed voluntarily. I am 18 years of age or older.

__________________________ ___________________________ Date: ______________
Print Parent/Guardian Name Parent/ Guardian Signature