Gym Information - Double Up Productions

Is the participant at least 18 years of age?*

Yes
No

Membership*

Member
Non-Member

Type of Waiver*

Programs, Birthdays, Open Gym, Daytime Playtime
Parents' Night Out

Parent or Guardian Name*

First Last

Participant's Name*

First Last

Participant's Date of Birth (MM/DD/YY)*

Phone*

Email*

Allergies, Medications, Special Conditions:

Please tell us anything else we may need to know to keep your child comfortable.

I authorize participation in the following activities.*

Classes
Open Gym
Daytime Playtime
Birthday Parties
Camps & Clinics

Tumbling, Cheerleading, Dance, Gymnastics and Ninja programs are included as curriculum in the activities listed.

Parent Consent to Participate*

I agree to the participation waiver.

Waiver of Liability & Release Form
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 Central Missouri Twisters (Twister Sports) 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 Twister Sports 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.

Parent Consent to Participate*

I agree to the participation waiver.

Waiver of Liability & Release Form
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 Central Missouri Twisters (Twister Sports) 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 Twister Sports 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.

Signature*

Parent or Guardian's Signature*

Event Information Form

Athlete Wristbands

Additional Coaches

Additional CIT's