Altius Gymnastics Birthday Party Waiver
A completed waiver is required for participation in the birthday party.

Notices for All Participants:
Upon entry to the facility all individuals must clean their hands.
Masks are recommended but not required.
We strongly recommend that only the parents/guardians of the birthday child stay to observe.

(This is NOT a form to book new birthday parties. See the Altius Events Calendar for bookings).
Last name of BIRTHDAY CHILD *
Date and Start Time of Party *
MM
/
DD
Time
:
Student FIRST NAME *
Student LAST NAME *
*
Required
Student Birth Date *
MM
/
DD
/
YYYY
Has your child been to Altius Before? *
If you have any additional children attending, write out their first name and birthdate
Parent FIRST NAME *
Parent LAST NAME *
Address *
City *
State *
Zip Code *
Phone Number *
E-mail Address *
WAIVER & RELEASE OF LIABILITY
I, parent or guardian of the participant, HEREBY acknowledge that THE ACTIVITIES AT ALTIUS GYMNASTICS ARE DANGEROUS AND INVOLVE THE RISK OF SERIOUS INJURY AND / OR DEATH AND / OR PROPERTY DAMAGE. THE ACTIVITIES AT ALTIUS GYMNASTICS INCLUDE, BUT ARE NOT LIMITED TO, GYMNASTICS, CHEERLEADING, COMPETITIONS, SOCIAL EVENTS, AND GENERAL ALTIUS GYMNASTICS ACTIVITIES (hereinafter the “ACTIVITIES”).

Participation in many of the activities of Altius Gymnastics involves motion, rotation, and height in a unique environment and as such carries with it the risk of injury or death. Some of the risks include, but are not limited to, less serious injuries such as bruises, sprains or strains, and more serious injuries such as broken bones, dislocations, and torn muscles. The risks also include, but are not limited to, catastrophic injuries such as permanent paralysis or even death, which may be caused by landing or falling on the back, neck or head.

I hereby authorize the agent, officer, or employee of Altius Gymnastics to act for me according to his/her best judgment, in any emergency requiring medical attention, and hereby waive and release agents, officers, and employees from any and all liability for any injuries, illness, or loss of property incurred while participating in any Altius program.

In case of accident or illness, my insurance company is the primary carrier. By your child's participation in the activities, you are granting your permission for you and your child to be filmed,audiotaped, or photographed by any means and are granting full use of your or your child's likeness, voice, and words without compensation.
Parent/Guardian Name *
Date *
MM
/
DD
/
YYYY
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