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Ann Arbor Gymnastics LLC
D.B.A. Champion Gymnastics
Consent Form

Parent(s) Name ________________________________________________________________________

Child Name & Age _______________________________________________________________________

Street Address __________________________________________________________________________

City/State _______________________________________ Zip Code _______________________________

Phone #_________________________________________________________________________________

_______________________________________________________________________________________________________
Please complete the following Consent Form in order for your child or yourself to participate in gymnastics activities at
Champion Gymnastics.
_______________________________________________________________________________________________________

CONSENT FORM

My child and I are aware that participating in Gymnastics and activities involving tumbling and exercise is a potentially hazardous activity.  We assume all risks associated with participation at Champion Gymnastics in this sport, including but not limited to falls, contact with other participants, and other reasonable risk conditions associated with the sport.  All such risks to my child and me are known and understood by us.  I also realize at no time are adults permitted on the equipment.

I hereby give my permission for ________________________________ and or myself to enter and or participate at Champion Gymnastics.

Signature: ____________________________________________  Date:__________________________

Signature: ____________________________________________  Date:__________________________
 
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