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In consideration for my attending Kid’s Play Day at CTA Highflyers LLC, I agree to be bound each of the following:

WAIVER & MEDICAL RELEASE: As legal guardian of the child listed on this form below, I hereby
consent for him/her to participate in gymnastics, trampolining and other activities deemed
necessary and conducted by CTA Highflyers LLC. 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
any losses associated with participation in gymnastics activities. I hereby and forever release
CTA Highflyers LLC, officers, directors, agents, and employees from all liability for any and all
damages and injuries suffered or contracted as a result of my child’s participation in those
activities.

MEDICAL ATTENTION: I hereby give an consent for CTA Highflyers LLC to provide, through a
medical staff of its choice, customary medical/athletic training attentions, transportation, and
emergency medical services as warranted in the course of my participation in CTA Highflyers
LLC activities. I do hereby verify that I fully understand and accept

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
ctainfo@comcast.net
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*

Phone*
Parent or Guardian's Date of Birth*
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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