GYM LOCATION WAIVER AND RELEASE OF LIABILITY
ALL PARENTS ARE REQUIRED TO SUBMIT THE WAIVER FORM BEFORE THE SCHEDULED CLASS
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Email *
Parent/Guardian Name *
Parent/Guardian Birth Date *
MM
/
DD
/
YYYY
Parent/Guardian Age *
Phone Number *
Complete Address *
Participant/Child Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Gender *
PLEASE SELECT YOUR REGISTERED ATTENDANCE GYM LOCATION. 
NOTE:  SINAI TEMPLE PARTICIPANTS NO WAIVER NEEDED
 *
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