Gymnastics kids club

Trial OR Registration

Email:[email protected]

Please fill out and submit.
*Guardian's first and last name

*Child first and last name

*Your e-mail, please do Not use hotmail.

*Cell Phone # - -
*Address: Street & unit # / City 
 /State  /Zip
Please read general gym release of liability and check yes.

Release of Liability & Terms

I absolve and hold harmless gym class/ under Samurai action studio Inc, its employee, officers or agents from any liability which may result from my participation or that of any minor in my legal custody, in the above activity.

If the participant is a minor, I also give my permission for his/her participation in the above activities and for any necessary emergency medical treatment.

I understand that gym class under Samurai Action studio Inc, has no obligation to supervise my child (ren) at the close of the above activities and I release Samurai Action Studio Inc,. its officers, employees and agents from any liability resulting from the lack of supervision of my child(ren) at the close of the above activities.

I give permission to allow Samurai Action Studio Inc. to photograph or videotape I or my child(ren) during class or events for the purpose of promoting Samurai Action Studio Inc. and teacher training.

After you register the class, skipping one month is half rate. Or take make up class. No refunds available. Tuition is due the 5th of every month. Late fee is $10.00. $15 fee will be added for NSF or returned check.

I have read & fully understand this release of Liability and the Terms & Conditions.

You can't try or register if you don't accept.
*Do you accept release liability?
Reason to take gym classes

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