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___________________________
|