My First Gym
Birthday PartiesKids Day OutTumblingCheerleading
Creative Spring Movement Learning
 
Child Care Name:
Child's First Name:
Child's Last Name:
Age:
Birth Date:
Mailing Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Email Address:
Parent/Guardian Name
(Responsible for Payment):

 
     
 
By clicking the submit button below, I, as parent or legal guardian of the child listed above, approve and give my permission for him/her to be a member of My First Gym. I understand that the use of exercise equipment, and participation in gymnastics activities involve motion, rotation, and weight in a unique environment and carries with it a responsible assumption of risk. Catastrophic injury, paralysis, or even death can result from improper conduct of such activities. I will be responsible for any and all hospitalization, medical or emergency treatment. I will not in any way hold My First Gym, My First Gym Tumble Bus, Hill Country Spirit Academy or any of its employees responsible in any way. I am voluntarily participation in these activities and assume all risks of injury that might result. I agree to waive any claims or rights I may have to sue the facility owners, officers, employees, or agents for injury as a result of my child's activities. I understand that Tumble Bus activities are held inside the bus, outside of, but on the premises of the day care facility or school. It is also understood that My First Gym is not affiliated with the school or day care facility to which my child belongs.
 
     
   

 

  512-868-TOTS (8687) Suite 930A N. Austin Ave.    
We care! Georgetown,    
  TexasStar  

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