Fall Twirling Team at Jefferson Registration- Click Here!
Authorization for Program Participation:
1. I, the below signed, hereby agree to allow the individual(s) named to participate in the Full Circle Classes and Activities program(s) listed above.
2. I certify that, to the best of my knowledge, the participant(s) named herein is/are physically able to engage in these activities.
3. In consideration of acceptance of the registration, I for myself, children, guardianship and anyone entitled to act on the behalf of anyone registered for the above mentioned programs, agree to waive any claim against Full Circle Classes and Activities, its employees or its agents for injuries that may occur as a result of my participation in this program. My signature acknowledges that I under stand the risks involved in the activity and agree that I will exercise caution and take all steps necessary to avoid injury.
4. I give my consent to use any photographs or videotape taken of myself or of the participant in the future promotional or marketing materials.
5. I hereby attest that I have read, understand and agree to the above statements.
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Full Name of Child Participating *
Name of Parent or Guardian
Phone
Email Address
What grade is your child in?
6th, 7th, 8th
School Your Child Attends
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How are you planning to pay? *
Address
City
State
Zip
Relation
By typing my name below, I agree to the statement in the opening  email paragraph, which will be repeated at the end of this form.  I understand there will be a place I can go back and change anything after I hit submit, if I don't agree to the terms.
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