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Gymnastika

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(973) 812-7447

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Gymnastika

Birthday Party

Guest Waiver

Date of Party:

Time of Party:

Who's party are you attending?

Guest's First Name

Guest's Last Name

Guest's Date of Birth. Guests particpating in the gym must be between 4-17 years old.

Medical Problems? *

No

Yes

If yes was answered, please specify below:

Parent's Email

Parent's Cell Phone

COVID-19 Questions. Do you or your child currently feel symptoms of:

Coughing

Sneezing

Shortness of Breath

Loss of taste / smell

Fever

Chills

NONE

In the past 14 days have you had close contact with someone who is confirmed as having COVID-19?

Yes

No

Is your child currently a 2023-2024 member?

Yes

No

I declare that the info I’ve provided is accurate & complete

As legal guardian of the above student, I certify that he/she is physically fit to perform in all activities involved in the Gymnastika Birthday Party, is not under medical care, and is not receiving medication for any condition which would limit participation in any way, except as listed above.

I understand that any activity involving motion or height contains the risk of accidental injury and the risk can never be totally eliminated, even under the supervision of properly trained and qualified instructors using modern and safely designed equipment. Gymnastika, its coaches and other staff members, will not accept responsibility for injuries sustained by any child participating in the Gymnastika birthday party during the course of gymnastics instruction or activities.

Parents are not allowed to enter the gym. The party can be observed from the lobby and viewing room.

Attire: athletic wear (shorts/leggings, t-shirt/tank, leotard). Bare feet. No crop tops. No jewelry. Hair must be up.

Parent's Signature

Date:

Thank you for submitting your waiver!

OFFICE HOURS

Monday- Friday

3:00pm - 6:00pm

Saturday:

9:00am-12:00pm

Please email us for inquiries.

info@GymnastikaNJ.com

CONTACT US

10 ANDREWS DRIVE

WOODLAND PARK NJ 07424

P: (973) 812-7447

E: INFO@GYMNASTIKANJ.COM

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