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Forms

Activity Waiver

"*" indicates required fields

MM slash DD slash YYYY
Activity*
If attending a Birthday Party or Field Trip, Insert Time Here*
:
Child's Name
Sex*
MM slash DD slash YYYY
Parents Name*
Address*
ALL CHILDREN MUST HAVE THE RELEASE FORM SIGNED BY THEIR PARENT TO PARTICIPATE.
To the extent permissible by law, I/we hereby release, discharge and/or otherwise hold harmless and indemnify GymStars, LLC, it’s owners, officers, directors, employees and associated personnel, from and against any and all demands, claims and causes of action arising, directly or indirectly, from my child’s/ward’s participation in its programs.
THIS RELEASE SPECIFICALLY INCLUDES ANY DEMANDS, CLIAMS AND CAUSES OF ACTION ARISING OUT OF THE PAST OR FUTURE NEGLIGIENT ACTS AND/OR OMISSIONS OF GYMSTARS, LLC, ITS OWNERS, OFFICERS, DIRECTORS, EMPLOYEES AND ASSOCIATED PERSONNEL. PHOTOGRAPH AND STATEMENTS:
I AUTHORIZE USE OF MY CHILD'S VISUAL IMAGE AND STATEMENT IN SOCIAL MEDIA, NEWSLETTERS, POSTERS AND OTHER ADVERTISING.
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.