Flip Out Productions Event Form
Flip Out Productions Birthday Party Package will include:

1 Event Teacher, 1 Helper depending on size of party
Warm-up
Music
1 Hour of Gymnastics and Party Activities
Flip Out Productions will provide up to five 6' x 2.5 tables and chairs
Assistance with food, cake and clean up

Flip Out Birthday Party Costs:

2 Hour Party
Up to 10 children - Birthday Child is free!
**$15 for each additional child

Total: $350

Host Provides:
Food
Table Cloths (at least 4)
Cake
Plates
Utensils
Napkins
Beverages

Event Schedule:
Saturday Events are held from 2pm - 4pm
Sunday Events are held from 11am-1pm, 11:30am-1:30pm, 1pm-3pm, 1:30pm-3:30pm, and 3pm to 5pm

Your event date is only guaranteed upon payment of $100 deposit through Care.com

Please complete the form as part of our Event Registration. Email at registration@flipoutproductions.com or call 215-350-6575 with any questions. Thank you!
Email address *
Child's Name *
Your answer
Age *
Your answer
Date of Birth *
Your answer
Parent Name *
Your answer
Desired Event Date *
MM
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DD
/
YYYY
Desired Event Time *
Your answer
Cell Phone # *
Your answer
Home Phone #
Your answer
Emergency Contact *
In the event of an emergency, if we cannot reach you via home or cell phone, whom should we contact and at what number?
Your answer
Email Address *
Your answer
Allergies or Medical Conditions *
Your answer
Flip Out Productions Assumption of Risk, Waiver of Liability, and Medical Authority *
I recognize that potentially severe injuries, including permanent paralysis or death can occur in sports or activities involving height or motion, including but not limited to gymnastics, tumbling, air floor, dance, and parties. Being fully aware of these dangers, I voluntarily consent to the aforementioned person(s) participating in any and all Flip Out Productions programs and activities and I ACCEPT ALL RISKS associated with that participation. In consideration for allowing me and my child(ren) to use these apparatus, I, on behalf of my child(ren) and our respective heirs, administrators, executors and successors, hereby COVENANT NOT TO SUE and FOREVER RELEASE Flip Out Production, its officers, directors, shareholders, employees or agents from all liability for any and all damages or injuries suffered by my child(ren) while under the instruction, supervision, or control of Flip out Productions, including, without limitation, those damages or injuries resulting from acts of negligence on the part of its officers, directors, shareholders, employees, or agents. In the event of an emergency I would like my above mentioned child(ren) to be taken to a hospital for medical treatment and I hold Flip Out Productions and its representatives harmless in their execution of this action. Additionally, I hereby agree to individually provide for all possible future medical expenses which may be incurred by me or my child as a result of any injury sustained while participating with Flip Out Productions. All gymnasts should have a physical before participating in sport.
Required
Use of Images *
I authorize Flip Out Productions to use images of my child(ren) without name identification, for Flip Out Productions publicity, promotional and advertising purposes and I hereby release any and all claims and/or rights I and/or my child(ren) might have as a result.
Required
General Rules and Policies *
Parents may observe classes at any time upstairs or downstairs in the designated seating area. No adults or non-students may participate in activities. All children not participating in class must be kept under control. No standing on chairs or benches. Children are not allowed outside unless directly supervised by an adult. No Participant is allowed on the equipment without a Flip Out Productions staff instructor. No running inside the facility unless directed by your instructor. Report any unusual pain or discomfort felt during participation to your instructor immediately. Respectful social behavior is expected of all students. Failure to act appropriately may result in removal from class/or program. Arrival and departures require safety awareness by everyone. Be sure that students are in facility safely before leaving. Students must remain inside the facility until their parents arrive. Please be on time for the start and end of your class.
Required
Tumbl Trak & Air Floor Safety Rules *
No student is allowed on the Tumbl Trak & Air Floor without a Flip Out Productions instructor. Only one person is permitted on the Tumbl Trak & Air Floor at a time. Bounce only in center of the Tumbl Trak & Air Floor unless directed by your instructor. Parents/Caregivers may go on the Tumbl Trak & Air Floor but they cannot jump with their child. Never land head first on the Tumbl Trak & Air Floor. Students must comply with their Coach's instructions at all times.
Required
Appropriate Gym Attire *
Leotard or shorts/tights & t-shirt. Long hair pulled away from face, NO jewelry. Shirt should be tucked into shorts or pants.
Required
Please Sign by submitting your full name followed by your initials. *
Your answer
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