Mid-Columbia Gymnastics/Elite Force Cheer Special Activities Release Form (DROP OFF ACTIVITIES ONLY)
All children must have a release form signed by their parent or legal guardian to participate in any DROP OFF activity (ex: Saturday Open Gym, birthday party if parent is not there to sign them in, etc) YOU DO NOT NEED TO FILL THIS OUT FOR INDOOR PLAYGROUND OR FAMILY OPEN GYM SINCE YOU WILL BE STAYING WITH YOUR CHILD, WE HAVE A SIGN IN SHEET WHEN YOU CHECK IN THAT CONTAINS THE WAIVER.
Family Name *
Your answer
Child's Full Name *
Your answer
Age *
Your answer
Birthdate *
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(If you have only 1 child skip to Has your family ever attended MCGA before) #2 Child's Full Name
Your answer
Age
Your answer
Birthdate
MM
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DD
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YYYY
#3 Child's Full Name
Your answer
Age
Your answer
Birthdate
MM
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DD
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YYYY
Has your family ever attended MCGA before? *
If not, how did you hear about us? *
Your answer
If this release is for a birthday party attendee, date and time of party?
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DD
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YYYY
Time
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Parent's Full Name *
Your answer
Parent's Email *
Your answer
Address *
Your answer
City *
Your answer
State/Zip *
Your answer
Best Phone # to reach you during activity *
Your answer
Emergency Contact Name & Phone # (other than parent filling out form) *
Your answer
Medical, physical, or other health concerns
Your answer
I understand and acknowledge that I possess full knowledge of the risk(s) of physical injury that are associated with such activities that are present at Mid-Columbia Gymnastics Academy Inc. This can include bodily injury that is catastrophic in nature. I do not hold MCGA its owners, staff or other visitors responsible for any injury to my child, myself, or any damage to my property. I authorize use of my child’s visual image and statements in social media, newsletters, and other advertising. By electronic signature, I confirm I am the parent or legal guardian of the above registrant(s) *
Your answer
Date *
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Submit
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