TGC Waiver

Parents First Name *

Parents Last Name *

Address

Street Address *

City *

State *

Postal Code *

Phone *

Email *

Athlete Name *

Athlete Date of Birth *

Reason for Completing Waiver

MEDICAL AUTHORIZATION AND LIABILITY RELEASE

I am aware of the nature of this activity and I hereby assume responsibility for the participant listed above to participate. I acknowledge that, while not common, any activity that involves height and motion (such as bounce houses, tumbling and stunting) involves risk of injury ranging from minor (bruises and sprains) to more serious and catastrophic injuries. I will not hold TGC (Tullahoma Gymnastics and Cheer) or its employees responsible in the case of accident or injury as a result of this participation. I understand that this completed form must be in the possession of TGC prior to participation in any program. If, at any point, I have a question or a concern regarding the safety of my child or the intent of the program, I will contact the owner, manager or instructor immediately. I also allow the participants listed to be photographed and videotaped for publicity and advertising purposes only.

I agree to the medical release as outlined above *

Clear

Today's Date *