2D Sports & Fitness Release & Registration Form
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT

In consideration of participating in the 2D Sports & Fitness, LLC programs:

I REPRESENT THAT I UNDERSTAND THE NATURE OF THE ACTIVITY and that my child is (I am) qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if my child (I) believe the Activity conditions are unsafe, my child (I) will immediately discontinue participation in the Activity.

I FULLY UNDERSTAND THAT THIS ACTIVITY INVOLVES RISKS of serious bodily injury, including permanent disability, paralysis, and death, which may be caused by my child's (my) own actions or inactions, those of others participating in the Activity, the conditions in which the event takes place, or the negligence of the "releases" named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such and all responsibility for losses, costs, and damages my child (I) incur as a result of my participation in the Activity.

I HEREBY RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE 2D Sports & Fitness, LLC, its respective administrators, directors, agents, officers, volunteers and employees, other participants, any sponsors, advertisers, and if applicable, owners, lessors, of premises on which the Activity takes place, (each considered one of the "RELEASES" herein) from all liability, claims, demands, losses, or damages on account of injury to the person or property or resulting in death of the undersigned, whether caused by negligence of the releases or otherwise while the undersigned is in or upon the restricted area, and/or, participating, practicing, competing, observing, working for, or for any purpose participating in the Activity.

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, and
understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full legal force and effect.
Email address *
Athlete's First & Last Name *
Your answer
I hereby give consent for the above named child to participate in gymnastics and/or other physical activities under the direction of 2D Sports & Fitness, LLC.
Parent/Guardian Initials *
Your answer
Date *
MM
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DD
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YYYY
Athlete's Age *
Your answer
Athlete's Date of Birth *
MM
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DD
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YYYY
Athlete's Gender
Class/Program Registering For *
Your answer
Day *
Time *
Time
:
Parent First & Last Name *
Your answer
Phone *
Your answer
Address *
Your answer
City *
Your answer
Zip *
Your answer
Can we send communication & promotional emails?
Use of child's photo on 2D Sports & Fitness website and/or social media?
How did you hear about 2D Sports & Fitness?
Emergency Contact *
Your answer
Relationship to Child *
Your answer
Phone *
Your answer
Allergies/Health Conditions
Your answer
Payment - Checks can be paid to 2D Sports & Fitness. Credit card info can be submitted in this form or given to 2D Sports & Fitness on the day of the first class. Zelle account phone number is 806-438-3227.
Form of Monthly Payment? *
Credit Card Authorization
I authorize 2D Sports & Fitness, LLC to charge the following credit card on the 25th of each month for the following month’s tuition as subscribed in my enrollment. I understand we can unenroll in our class by the 15th of any month and my card will not be charged on the 25th for the following month’s tuition. If unenrollment occurs after the 15th of the month, then the following month’s full tuition will be charged to the card and is non-refundable. If my card fails to authorize for a payment by the 5th of the month, I will be liable for a $25 late fee.
Cardholder's First & Last Name
Your answer
Date
MM
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DD
/
YYYY
Card Number
Your answer
Expiration Date
Your answer
CVV
Your answer
Billing Zip Code
Your answer
A copy of your responses will be emailed to the address you provided.
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