INSTRUCTIONS:
1.) Click to print this form. 1 per child required.
2.) To return to website, close this window (click here or the X in the upper right corner).

  Questions, Phone: (913) 764-8282

KANSAS GYMNASTICS & CHEER 1702 E. 123rd Terrace, Olathe, KS 66061 913-764-8282 www.kansasgymandcheer.com ATHLETIC RELEASE FROM LIABILITY Student__________________________________________________ Birth date___________________ Age________ Parents name_____________________________________________ Phone____________________________ Address____________________________________________________________ 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 losses associated with the participation in gymnastics and cheerleading. I further agree that Kansas Gymnastic and Dance Center, Inc. along with employees, agents, officers, and directors of these organizations shall not be liable of any losses or damages occurring as a result of my child's participation in gymnastics or cheerleading, except where such loss or damage is the result of intentional or reckless conduct of one of the organizations or individuals identified above, and I hereby waive and release all claims which may be made against Kansas Gymnastics and Dance Center, Inc. As legal parent or guardian of the athlete, I hereby verify by my signature below that I fully understand and accept each of the above conditions for permitting my child's participation in gymnastics and cheerleading. __________________________________ Signature of Parent or Guardian ___________________ Date