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Turner Hall Gymnastics: Spring 2019
Please fill out the questions below. If you have more than one participant,
please fill out a separate registration form for each participant.
Email address *
Waiver and Release of Liability *
1. Assumption of Risk. It is understood, appreciated and acknowledged that there are risks and dangers of injury that may occur in the course of the Participant taking part in the New Ulm Turnverein - Turner Hall Gymnastics Program (Program) which includes, by example, but not by way of limitation, activities involving height and rotation, skills and techniques, use of facility equipment, apparatus, mats and pits unique to the sport of gymnastics and its various disciplines (Program Activities). It is further understood that participation in the Program and Program Activities may include risk of minor, severe or catastrophic injuries and the undersigned hereby permits the Participant to engage in the Program Activities with adequate prior knowledge of such risks and dangers. 2. Responsibility. The undersigned, on behalf of the Participant but also for myself / ourselves, and my/our heirs, personal representatives, administrators, successors and assigns agree to and do assume all legal and financial responsibility for (a) any and all risk(s) arising out of the Program and Program Activities; (b) any and all injuries, damages and losses, whether to person or property, and whether physical, psychological, social or economic that Participant or the undersigned may in any manner and from whatever cause sustain in connection with the attendance and participation in the Program and Program Activities wherever such Program Activities take place, including such injury, damage or loss that may result from the negligence of New Ulm Turnverein or from any other cause; and (c) all treatment, hospitalization and other care rendered to Participant in the event of Participant’s injury, illness or other emergent circumstance in connection with any of the foregoing. 3. Release and Indemnification. The undersigned, on behalf of Participant but also for myself/ourselves, and my/our heirs, personal representatives, administrators, successors and assigns hereby fully and forever release, discharge, hold harmless and agree to indemnify New Ulm Turnverein and the Turner Hall Gymnastics Program from and against any and all liabilities, losses, damages, claims, demands, litigation, and judgements, present or future, known or unknown, foreseeable or unforeseeable, valid or invalid, direct or consequential, together with reasonable costs and attorney fees (Claims): (a) which result, directly or indirectly, from bodily injury, illness, disability or paralysis, death, or other harm to Participant, third-parties or Participant’s property, or the property of third-parties, and (b) which are caused by or result, directly or indirectly, from Participant’s attendance at and participation in the Program and Program Activities wheresoever occurring, or otherwise. 4. Consent to Medical Treatment. In the event of an accident or emergency, the undersigned authorizes New Ulm Turnverein and the Turner Hall Gymnastics Program and their representatives, including their employees, volunteers, and coaches to render first aid to the Participant to the extent they deem necessary. The undersigned further authorizes New Ulm Turnverein and the Turner Hall Gymnastics Program and their representatives, including its employees, volunteers, and coaches to transport or arrange for transportation of Participant, by ambulance if New Ulm Turnverein and the Turner Hall Gymnastics Program deem it appropriate, to a hospital or any other medical or dental facility for medical or dental treatment and the undersigned authorizes the Turner Hall Gymnastics Program and New Ulm Turnverein and their representatives, including their employees, volunteers, and coaches to consent to medical and dental treatment for the Participant.
Date of Birth *
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Participant's First Name *
Your answer
Participant's Last Name *
Your answer
Parent/Guardian's First and Last Name *
Your answer
Parent/Guardian's Cell Phone Number *
Your answer
Parent/Guardian's First and Last Name *
Your answer
Parent/Guardian's Cell Phone Number *
Your answer
Address(es) *
Your answer
Reachable E-mail Address *
If you wish to receive information on more than one e-mail, please list both.
Your answer
Emergency Contact Name(s) *
Your answer
Emergency contact phone number(s) *
Your answer
Please list any disabilities, allergies, or medications of which we should be aware.
Your answer
Please indicate your PREFERRED choice of session you would like your son/daughter to be enrolled in, and based on age, numbers, experience, and individual-evaluation the coaching staff will make the final decision. *
See website for more details concerning what skills are taught in each class.
Are you comfortable with your child being photographed and/or posted to our website/Facebook for promotional purposes? *
Required
I/we as parent(s)/legal guardian(s) with legal responsibility for the Participant, do hereby understand the risk(s) associated with the New Ulm Turnverein Turner Hall Gymnastics Program and assume full risk and responsibility for Participant’s participation in the Program and the Program Activities all as set forth above; and, further waive, release and indemnify for myself/ourselves, and my/our heirs, personal representatives, administrators, successors and assigns, New Ulm Turnverein and the Turner Hall Gymnastics Program from any and all Claims as set forth above incident to the Participant’s participation in the Program and the Program Activities as stated above, even if arising from the negligence of New Ulm Turnverein and the Turner Hall Gymnastics Program or otherwise to the fullest extent permitted by law and all as set forth above.
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Print Name of Parent/Legal Guardian
Your answer
Signature of Parent/Legal Guardian
Your answer
Practices begin Monday, March 18th! Please send cash/check made out to “Turner Hall Gymnastics,” with your gymnast on his/her FIRST day of practice. Thank you for supporting Turner Hall Gymnastics! I am looking forward to an excellent season.
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