Release, Waiver, and Indemnity Form

For specific activities, a coach or member of the gym’s staff may ask you to complete a release, waiver, and indemnity form. For your convenience, we provide this form online. Once you complete this form and sign it online, a copy will be sent to the gym. You will also receive a copy for your records.

Parent or Guardian's full name: *

Parent or Guardian's phone number

Parent or Guardian's e-mail address: *

Confirm Email

Child's full name: *

Child's present age *

Child's Gender *

Male
Female

Program information

Class or program: *

Class time: *

Class start date: (YYYY-MM-DD) *

Coaches: (if known)

Medical Information

Does your child have any medical concerns we should be aware of *

Release

I, the undersigned, hereby agree to indemnify and save harmless, The Tumble Tot Co. & Tornados Gymnastics, their Officers, instructors, coaches, employees, members and clubs from and against all claims, demands, costs, damages, actions, suits, or proceedings arising out of participation of myself/my child in any gymnastic activity.

Notice of Risk

Although every effort will be made to provide a safe and enjoyable gymnastics program, it must be recognized that there are inherent risks involved.

Signature if over 18, or signature of parent of legal guardian. *

Clear Signature

If you are on a phone or tablet, please sketch your signature or initials using your finger. On a desktop computer or laptop, use your mouse. The statements above are true to the best of my knowledge, and I've reviewed terms of the release above.

Website

Release, Waiver, and Indemnity Form

Program information

Medical Information

Release

Notice of Risk

Office Hours (in person)

Quick links

Contact info