1401 Circle Ave., Forest Park, IL


 Please read the following carefully and fill out all fields in the form below. NOTE: Parent signs if student is under 18 years.

Athlete Membership Agreement for Tri-Star Gymnastics Incorporated

Agreement:
In consideration of my membership to Tri-Star Gymnastics Inc. and my participation in Tri-Star Gymnastics classes, events and activities, I agree to be bound by each of the following:

  1. Eligibility: I agree to comply with the rules of Tri-Star Gymnastics at all times.

  2. Readiness to Participate: I will only participate in those Tri-Star Gymnastics classes, events, competitions and activities for which I believe I am physically and psychologically prepared. Prior to participation, I will have practiced my exercises and will perform only those exercises that I have accomplished to the degree of confidence necessary to assure I can perform by myself and without injury.

  3. Medical Attention: I hereby give my consent to Tri-Star Gymnastics and/or the Host Organization to provide, through a medical staff of its choice, customary medical/athletic training attention, transportation and emergency medical services as warranted in the cause of my participation.

  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.

Information:
Primary Medical Insurance: I am covered by primary health/medical/accident insurance though:


 


 

 
MaleFemale  

 
MaleFemale  

 
MaleFemale  


I am a Citizen of the United States
YesNo

 

For any Athlete who is not yet 18 years old: As a legal parent or guardian of this athlete, I hereby verify by checking the box below that I fully understand and accept each of the above conditions for permitting my child to participate in classes, events, competitions and activities conducted by Tri-Star Gymnastics inc. I also understand that this constitutes my electronic signature in agreement with the above.







I agree 

Club Waiver and Release Form
For TRI-STAR GYMNASTICS INCORPORATED

I agree that my child (or children) as listed above may participate in class at Tri-Star Gymnastics. I fully understand that Tri-Star Gymnastics staff members are not physicians or medical practitioners of any kind. With the above in mind, I hereby release the Tri-Star Gymnastics staff to render temporary first aid to my child or children in the event of any injury or illness, and if deemed necessary by the Tri-Star Gymnastics staff to call our doctor and to seek medical help, including transportation by a Tri-Star Gymnastics Staff member and or its representative, whether paid or volunteer, to any health care facility or hospital, or the calling of an ambulance for said child should the Tri-Star Gymnastics staff deem this to be necessary.

I agree

We, the staff at Tri-Star Gymnastics recognize our obligation to make our students and their parents aware of the risks and hazards associated with the sport of gymnastics, cheerleading, trampoline and tumbling. Students may suffer injuries, possibly minor, serious or catastrophic in nature. Gymnastics, cheerleading, trampoline and tumbling can be dangerous and can lead to injury. Parents should make their children aware of the possibility of injury and encourage their children to follow all the safety rules and the coaches’ instructions.

The Tri-Star Gymnastics Club, its coaches and other staff members, will not accept responsibility for injuries sustained by any student during the course of gymnastics, tumbling, cheerleading, trampoline instruction or family fun, or in the course of any exhibition, competition or clinic in which he or she may participate or while traveling to or from the event.

With the above in mind, and being fully aware of the risks and possibility of injury involved, I consent to have my child or children participate in the programs offered by Tri-Star Gymnastics, Inc. I, my executors or other representatives, waive and release all rights and claims for damages that I or my child may have against Tri-Star Gymnastics, Inc and or its representatives whether paid or volunteer.

I also affirm that I now have and will continue to provide proper hospitalization, health, and accident insurance coverage which I consider adequate for both my child’s protection and my own protection.

I also understand that it is the parents’ responsibility to warn the child about the dangers of gymnastics and injury. The parent should warn the child according to what the parent feels is appropriate. Tri-Star will only warn the child through “Safety Messages” and our teaching style and progressions.

 

 

 

By checking this box I understand this constitutes my on-line signature in agreement with the Athlete Membership Agreement and the Club Waiver and Release Form.

I agree