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Top Flight Acknowledgement of Risk, Waiver of Liability, and Medical Authorization (860)350-9121

A signed copy of this form must be on file in our office before your child can participate in our classes.

You may print this form and send or fax to our office:

Top Flight Sports Center
17 Pickett District Road
New Milford CT 06776
Phone: (860)350-9121
FAX: (860)350-9123

As legal guardian of , I recognize that potentially severe injuries, including but not limited to permanent paralysis or death can occur in sports or activities involving height or motion, including but not limited to gymnastics, tumbling, trampoline, martial arts, dance, cheerleading, ball sports, and swimming. In addition, swimming or any activity in or around water can result in drowning. Being fully aware of these dangers, I voluntarily consent to the aforementioned person participating in any and all Top Flight Gymnastics Center, Inc., dba Top Flight Sports Center programs and activities and accept all risks associated with that participation.

In consideration for allowing my child to use these facilities, I, on my own behalf and the behalf of my child and our respective heirs, administrators, executors and successors, hereby forever release and covenant not to sue Top Flight Sports Center, its officers, directors, share holders, employees, volunteers, and all others associated with the corporation from all liability for any and all damages and injuries suffered by my child while under the instruction, supervision, or control of Top Flight Sports Center.

In the event of an emergency I would like my above mentioned child to be taken to the hospital for medical treatment and I hold Top Flight and its representatives harmless in their execution of this action. Additionally, I hereby agree to individually provide for all possible future medical expenses which may be incurred by my child as a result of any injury sustained while participation at or for Top Flight Sports Center.

I have read and understand this acknowledgment of risk and waiver of liability and medical authorization and I voluntarily affix my name in agreement.

Parent or Legal Guardian’s Signature

Date

 

 

 

 

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Top Flight Sports Center