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Student's Name:
Class Level:
Address:
City:
State:
Zip:
Phone/Home:
PhoneCell:
Work:
Tuition:
Total Included:
Child's T-Shirt Size:
1st/2nd Choice Day:
1st/2nd Choice Time:
Current Age:
DOB:
Payments Included:
Registration:
E-Mail:
Parent's Name:
I acknowledge that by participating in gym activities and/or by moving around in the gym, with its equipment, apparatus and possible uneven surfaces, there is risk of injury. I acknowledge that I accept the risk and waive the option to sue should I, or any minors for whom I am responsible, incur injury. By waiving the option to sue, I also thereby release Beach Bounders Gymnastics & Athletics and its agents or employees from liability for such injury.
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