OPEN GYM                               
Online Submit Only
           CONSENT REGISTRATION FORM                                          Please use printable form under WGA Forms to print a copy of this form.

RELEASE AND AUTHORIZATION

I authorize Woodlands Gymnastics Academy (WGA) to consent to medial treatment for my child or children listed below in the occasion that I am aware that any activity involving height or motion creates the possibility of injury and I further agree to hold WGA and its staff harmless for any injury or resulting expenses.  I release and discharge any and all rights and claims against WGA, and its parties.  We carry insurance coverage which pays the medical expenses actually incurred by a participant when an accidental injury occurs while participating in covered club activities.  This coverage is excess coverage and begins after the exhaustion of all other coverage for which the participant may be eligible.  If no other coverage exists, this coverage becomes primary, after the deductible has been paid by the participant.

  1. Please type your child(s) name:

    Name

  2. By Submitting this form:

    I Agree to the WGA Open Gym Release of Liability Statement and I am the lawful legal guardian of the child or children listed above.

    Filling in the information below will act as my electronic signature, as well as, my emergency contact information:

    Parent or Legal Guardians Name
    Emergency Phone
    Date 

Woodlands Gymnastics Academy
Revised: 12/22/09