Enrollment Application

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We do not have on-line enrollment.  Please print this enrollment form and fill it out.  You can then bring in the form with your deposit of $30.00 or mail it to 3185 Parkway Dr., Melbourne 32934.

                                                        Tumbleweeds Gymnastics   
                                                Enrollment Application 

    Please Print Information Below

            Childs Name    ___________________________________________

            Parent's Name  ___________________________________________

            Address           ___________________________________________

            City                  ______________________   Zip ________________

            Home Phone     ______________________  Cell Phone  _______________

            Child's Age       ____________                       Date of Birth  _______________

            E-mail              ________________________________

            How did you hear about us?  ______________________________________

            Signature          _________________________________

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Registration Fee: ________________

Registration Date: _____/_______/____

      Acknowledgement of Health/Medical, Risk and Liability Waiver
                                      Health and Medical

My child has been examined by a physician within the last 6 months, is relatively in good health, and
is able to participate in a full gymnastics program.  For the benefit of your child, please list any medical
conditions that may affect your Childs safety and performance (e.g. allergies, asthma, seizures, heart
ailments, physical or mental conditions).
 
NONE ____________       LIST CONDITIONS _____________________________________

                            Risk and Liability

According to the United States Gymnastics Federation, the very nature of the activity, gymnastics carries a
risk of physical injury.  No matter how careful the gymnast and the instructor are, no matter how many spotters
used, the risk of injury cannot be eliminated.  The risk of injury, includes minor injuries such as bruises, and
muscle pulls, potentially severe injuries, including but not limited to permanent paralysis or death can occur
in sports or activities involving height or motion, including but not limited to gymnastics, tumbling, trampoline,
cheerleading and dance.  Being fully aware of these dangers, I voluntarily consent for my child/children to
participate in all Tumbleweeds Gymnastics programs and accept all risks associated with that participation.

Signature ___________________________________________________