Little Stars Gymnastics Waiver

Please fill out the following form.

Child's Name

Parent/Guardian Name

Relationship to Child

Child's Date of birth

Month

Day

Year

Address

Phone

I agree that my child can be in photos/videos to be used on website and to be sent for weekly updates to parents

Children will always have an adult present in the bus

Children will stay on the property and the bus will never be started when children are on the bus

If a child gets hurt, there is a first aid kit on the bus. If it is a bigger injury, you must submit a claim with Little Stars Gymnastics

I declare that the information I’ve provided is accurate and complete.

Signature

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Is there anything we need to know about your child?