Green Mountain Gymnastics, Inc.
Adult Waiver/Release Form
No-one will be allowed to participate in any programs unless this form is completely filled out, signed and filed with GMG prior to commencing participation.

**READ THE FOLLOWING CAREFULLY AND SIGN BELOW.

Agreement
In consideration of my participation in Green Mountain Gymnastics Inc. (further referred to as GMG) events and activities, I hereby agree to be bound by each of the following terms and conditions:

  1. Eligibility: I agree to comply with the rules of GMG.
  2. Readiness to Participate: I will only participate in those GMG classes, events, competitions and activities for which I believe I am physically and psychologically prepared. Prior to participation, I will have practiced by exercise and will perform only those exercises, which I have accomplished to the degree of confidence necessary to assure I can perform them by myself and without injury.
  3. Medical Attention: I hereby give my consent to GMG and/or host Organization to provide, through a medical staff of choice, customary medical/athletic training attention, transportation and emergency medical services as warranted in the course of my participation in the event, except where such loss or damage is the result of the intentional or reckless conduct of one of the organizations or individuals identified above.
  4. Waiver and Release: I am fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis and even death, as well as other damages and losses associated with participation in gymnastics activities and events.

I further agree that GMG and the sponsor of any GMG event, along with the employees, agents, officers and directors of these organizations, shall not be liable for any losses or damages occurring as a result of my/our child's participation in any GMG event or activity, except where such loss or damage is the result of intentional or reckless conduct on one of the individual (s) /organization (s) mentioned above.

I hereby verify by my signature below that I fully understand and accept each of the above conditions for permitting me to participate in classes, events, and activities conducted by GMG.

This waiver/ Release form shall remain in effect for as long as______________________________________ (name of participant) participates in any GMG activity until such time of written notice rescinding this waiver/ release is received by GMG.

Name of Participant: _____________________________________________


Date of Birth: ________________________________________


Emergency Contact Name: ______________________________ Phone #: ____________________________


Signed:______________________________________________


Printed Name:________________________________________


Dated: ____/____/____