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 REGISTRATION FORM  
GYMNAST’S NAME:_______________________________________________ 
 
BIRTHDATE:________________________AGE:_______________ 
 
 
PARENT’S NAME: Father(first)__________________(last)_____________________ 
 
Mother(first)____________________(last)_________________  
 
 
HOME ADDRESS:__________________________________________________ 
 
EMAIL:_______________________________________________ 
 
 
HOME PHONE:____________________________ 
 
ALTERNATE PHONE:____________________________ 
 
SCHOOL:_________________________ 
 
 
  Understanding that Gymnastics is a potentially dangerous sport in which accidents and injuries may occur, I hereby agree to  
release the Faribault Gymnastics Association and its staff from any liability, claims, or demands of any nature including those with Covid-19.  I also certify 
that my child is in good health and may participate in any program activities.  In the event of an injury, I grant my permission 
to have my child treated at the nearest emergency medical center. I understand that the Faribault Gymnastics Club may informother participants  
of any confirmed diagnosis of Covid-19 (or other transmittable virus/disease), to the extent they may have been exposed, but will maintain  
confidentiality to the extent possible. 
 
  I hereby give Faribault Gymnastics, its representatives & employees’ permission to use photographs for the purpose of promoting 
Faribault Gymnastics Association. I agree that Faribault Gymnastics may use such photos of my child with or without my child’s  
first name and for any lawful purpose , including for example such purposes as publicity, illustration, advertising, and Web content  
Last names may be used in the local paper, but will not be used online or in any brochures. We do not give refunds. 
 
 
 
PARENT SIGNATURE                                                                                                                            
 
DATE 
  
Registrations can be mailed in.  Minimum of two days prior to registration required. 
Mail to: Faribault Gymnastics, 1073 Willow St., Faribault, MN 55021 
  
Class_________________________________________  
 
Day__________________________________  
 
Time___________________________
 
 
  
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