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Welcome to Creative Acrobatics! Please complete the following waiver and registration form below.

A $50 registration fee is due at the time of registration. You will be redirected to our payment page once you submit this form.



REQUIRED POLICIES AND AGREEMENTS

Assumption of Risk

I understand that circus and acrobatic training from Creative Acrobatics requires a sustained, repetitive amount of vigorous physical activity. It is also understood that circus and acrobatic instruction involves kinetic corrections that may include physically touching the student as a part of instructing. I understand that participants may engage in repetitive impact as well as a broad range of quick movements, bending, twisting, dropping, running, leaping and lifting, which place extreme demands on the human body, including the stress of joints and ligaments. I understand the possibilities of occasional falls, slips and collisions with other students and objects may occur as well.


I also understand that there are inherent risks of serious personal injury involved in all of the activities listed above and I voluntarily assume and accept such risk of personal injury and illnesses arising from my child's/ children's attendance at/ and or participation in the class.

 I've read the above and agree.

I Agree
  

Release of Liability

As the legal parent or guardian, I release and hold harmless Creative Acrobatics, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Creative Acrobatics, its owners and operators or in route to or from any of said premises. 


My child has my permission to participate in Creative Acrobatics. I hereby acknowledge that I am the parent or legal guardian of the above named child and that the personal foregoing information in the registration form is correct. I agree to notify Creative Acrobatics staff if there are any changes in the information supplied, or if any limitation should arise which would affect my child's participation in class. I understand that I can contact Creative Acrobatics for any further information. It is my responsibility to keep current of class information by checking with my child and reading notices send by e-mail. It is also my responsibility to contact Creative Acrobatics by e-mail to convey any information necessary, including updated personal information on my child.

 I've read the above and agree.

I Agree
  

Tuition and Fees

Tuition is based upon the fall and spring sessions total not on a per-class basis. Tuition is for the entire season. There is an option to pay in three equal installments for fall and spring. Other installment options are available if needed.


To participate in the spring performance a one-time performance fee is due prior to November 15th. 


Please be aware that all fees are non-refundable and non-transferable

 I've read the above and agree.

I Agree
  

Medical Emergencies

I, the legal parent/guardian give permission to Creative Acrobatics, its owners and operators to seek medical treatment for the participant in the event they are not able to reach a parent or guardian in case of an emergency. I hereby declare any physical/mental problems, restrictions, or condition and/or declare the participant to be in good physical and mental health.

 I've read the above and agree.

I Agree
 

Photo and Video Release

I hereby authorize Creative Acrobatics for all time to use photographs or video of students or former students for publicity or advertising purposes.

 I've read the above and agree.

I Agree
  

 

 

First Participant's Name
First Name*
Last Name*
Phone*
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First Participant's Date of Birth*
Date of Birth
Information

Additional Information
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First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
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Participant's Date of Birth*
Date of Birth
Information

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Third Participant's Name
First Name*
Last Name*
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Participant's Date of Birth*
Date of Birth
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Fourth Participant's Name
First Name*
Last Name*
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Participant's Date of Birth*
Date of Birth
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Fifth Participant's Name
First Name*
Last Name*
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Participant's Date of Birth*
Date of Birth
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Sixth Participant's Name
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Last Name*
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Participant's Date of Birth*
Date of Birth
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Seventh Participant's Name
First Name*
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Participant's Date of Birth*
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Eighth Participant's Name
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Participant's Date of Birth*
Date of Birth
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Ninth Participant's Name
First Name*
Last Name*
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Participant's Date of Birth*
Date of Birth
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Tenth Participant's Name
First Name*
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Participant's Date of Birth*
Date of Birth
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Parent or Guardian's Email Address
Email*
Confirm Email*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Relationship*
Phone*
Select Gender
Parent or Guardian's Date of Birth*
Date of Birth
Information

Additional Information
Select your class*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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