Home
Acro Team
Trampoline & Tumbling Team
CP SuperStars Cheer
Tuition & Schedule
Our Gym Family
Open Gym, Parties, & More
Media Links/Photos/Team Store
Event Calendar
Release Waiver & Registration Form
Release Waiver
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AND PARENTAL CONSENT AGREEMENT ("AGREEMENT") IN CONSIDERATION of being permitted to participate in any way in any _____Acro, Gymnastics, Tumbling, Trampoline, Cheer, Dance_____ activity ("Activity") at any time during the current calendar year I, for myself, my personal representatives, assigns, heirs, and next of kin: 1. ACKNOWLEDGE, agree and represent that I understand the nature of _____ Acro, Gymnastics, Tumbling, Trampoline, Cheer, Dance_____ Activities and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if at any time I believe the conditions to be unsafe, I will immediately discontinue further participation in the Activity. 2. FULLY UNDERSTAND that: (a) Acro, Gymnastics, Tumbling, Trampoline, Cheer, Dance_____ ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH ("Risks"); (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation or that of the minor in the Activity. 3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the Chances Acro Tumble Dance Stars, Superstars Cheer dba Chances Pride , its administrators, directors, agents, officers, members, volunteers, team members, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the RELEASEES herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may be incurred as the result of such claim. I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.
*
Indicates required field
PRINTED NAME OF PARTICIPANT:
*
First
Last
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Emergency Contact Phone Number
*
Below section must be completed by Parent/Guardian for any participant under the age of 18. MINOR RELEASE AND I, THE MINOR'S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF _____ Acro, Gymnastics, Tumbling, Trampoline, Cheer, Dance ACTIVITIES AND THE MINOR'S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEE'S FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR'S ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR'S BEHALF MAKES A CLAIMS AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR ANY COST THAT MAY OCCUR AS A RESULT OF ANY SUCH CLAIM. By Typing My Name and Date Below, relationship to participant (ie: Parent, Guardian, self if over 18), and Participant Name and Date of Birth, I am in agreement to this release waiver
*
Submit
2023-2024 Registration Form
This must be completed in addition to the release waiver if you are joining CP
Please carefully read form and hover over question marks for complete details. Thank you!
*
Indicates required field
Participant Name
*
First
Last
Dear Chances Pride Member, Thank you for choosing Chances Pride for your acro gymnastics, tumbling, cheerleading or dance learning experience. Chances Pride welcomes you as a great addition to our gym & studio. We look forward to you choosing us and we wish you the best. Sincerely, Melissa Phillips Owner/Director Shannon Wylie Maruyama Superstars Cheer Head Coach Nicole Hoagland Superstars Cheer Manager
DOB of Participant
*
AGREEMENT TO PARTICIPATE AND LIABLITIY WAIVER: I understand acro, dance, cheer and related activities involve risk of injury. I agree I will not hold Chances Pride (its owners, staff and related parties) responsible for injuries/damages incurred by any of my family members while participating or visiting facilities AUTHORIZATION OF MEDICAL CARE: In case of injury or illness while participating, I authorize medical care for my child and accept responsibility for medical expenses. By my signature I confirm that the named person is in good health and authorize simple first aid to be given if necessary. I also consent to any medical treatment (x-ray, exam and medical/surgical diagnosis) which be deemed necessary if I can not be reached. I also hereby state that the above named is covered by medical insurance, and Chances Pride is not responsible for any medical insurance coverage. Please Print Parent/Guardian Name, Physician Name, and any Medical Notes necessary. & Date
*
Please Print parent/Guardian name, doctor name, and any medical notes and today's date. Please include authorized emergency contacts. Please include any other info or comment we need to know.
Photo & Media: Release I hereby consent that photographs, digital images, film, videotape, audio and /or other recordings of my Child related to Chances Pride can be reproduced & /or advertised for these purposesment
*
Please Print Parent/Guardian Name and today's date
Payment Policy & POLICIES AGREEMENT Please Print Guardian Name, Child Name, Date of Birth, Phone Number, Address
*
Your monthly payment is due by the 1st of each month. A $15.00 late fee will be assessed to your account after the 5th of the month. To assure your class time, payment needs to be received by the fifteenth day of the month. After the fifteenth day, you will be charged an extra $25.00 and can be dropped from class. Regular payments are expected when due. Tuition is the same every month, regardless if there are 3 weeks or 5 weeks in a month. No refunds or adjustments for missed classes. Registration fee is non-refundable There will be a $35.00 fee for returned checks In the event of inclement weather, please call the studio for information. Yearly Insurance & Registration $40.00 per child $60 per family Family Discounts An additional 20% off the second child enrolled Please comply with rules and policies. Failure to comply can result in immediate dismissal. No Food Gum or Candy in Gym/studio Water Bottles with lids only Good Conduct is required Proper Attire: Acro or Cheer/Tumbling: Gym shorts& shirt, or leotard. Socks needed for Trampoline. Hair must be up! Hair must be out of face and off neck for safety. No dangly jewelry.
Submit
Home
Acro Team
Trampoline & Tumbling Team
CP SuperStars Cheer
Tuition & Schedule
Our Gym Family
Open Gym, Parties, & More
Media Links/Photos/Team Store
Event Calendar
Release Waiver & Registration Form