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Team Lightning Strength Camp is open to any Competitive (or going to be Competitive) athlete from any Club. The purpose of this camp is to shake off the 'rust' from break and get back in shape. * If you are a Member of Team Lightning and are enrolled in Competitive Team Camp - it is Free. * If you are a Member of Team Lightning and are NOT enrolled in Competitive Team Camp - it is $100.00 * If you are NOT a Member of Team Lightning and want to come to both camps, there is an additional fee of $50.00. * If you are NOT a Member of Team Lightning and can only come to Strength camp, the fee is $125.00. ** Strength Camp runs Monday thru Friday June20th - June 24th th - 9:00am till 2:00 (pack a lunch).
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Grade Level:
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5th grade
6th grade
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Student's First Name:
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Student Email:
School:
Grade Level:
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
:
USAG#::
Questions/Options:
Are you currently a member of Team Lightning.
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Are you enrolled in Team Lightning Competitive Camp?
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Additional Information:
Release of Liability
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I, as a student and/or parent or legal guardian of a student of Team Lightning Inc. dba Erie Gymnastics Center. expressly acknowledge that this contract contains release and other risk-shifting provisions which may be operated to shift risk from Team Lightning Inc. dba Erie Gymnastics Center, to the undersigned student and/or parent or legal guardian of a student ofTeam Lightning Inc. dba Erie Gymnastics Center, and the student and/or parent of legal guardian of a student of Team Lightning Inc. dba Erie Gymnastics Center, expressly accepts the responsibilities and duties resulting from such provisions. The individual(s) signing the agreement admit(s) reading and understanding the terms contained in this agreement. I (we) the undersigned student and/or parent or legal guardian of a student of Team Lightning Inc. dba Erie Gymnastics Center, for and in consideration of enrollment and/or the enrollment of my child or a student for whom I have been granted legal custody hereby voluntarily and knowingly execute this release with the express intention of effecting the extinguishments of and complete release from any and all claims, actions demands or rights to monetary judgments whatsoever arising from any and all injury or physical harm which may occur to the student, including specifically those that may arise out of , or be occasioned by, directly or indirectly , any negligent act (s) or omission (s) of Team Lightning Inc. dba Erie Gymnastics Center, its officers, agents, employees or servants during the student's attendance at and participation in any activities associated with Team Lightning Inc. dba Erie Gymnastics Center, both on and off the Team Lightning Inc. dba Erie Gymnastics Center, premises. The undersigned expressly agrees that this release and waiver is intended to be as broad and inclusive as permitted by the laws of the Commonwealth of Pennsylvania, and that if any portion of this release and waiver is held to be invalid, it is agreed that the balance shall; notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties and the terms of this release are contractual and not merely a recital.
I've read the above and agree.
Assumption of Risk
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Assumption of Risk
Agreement not to sue or cause litigation versus Team Lightning Inc. (dba- Erie Gymnastics Center, its agents or employees. We, the staff of Erie Gymnastics Center recognize our obligation to make our students and their parents aware of the risks and hazards associated with the sport of gymnastics, tumbling, trampoline, cheerleading, dance, acrobatics, and/or specialized sports training. Students may suffer injuries, possibly minor, serious or catastrophic in nature. Gymnastics, Tumbling, Trampolining, Acrobatics, Cheerleading, Dance, acrobatics, and/or Specialized Sports Training can be dangerous and can lead to injury or death! Parents should make their children aware of the possibility of injury and encourage their children to follow all the safety rules and the coaches' instructions.
Team Lightning Inc (dba - Erie Gymnastics Center) , its coaches and other staff members, will not accept responsibility for injuries sustained by any student during the course of Gymnastics, Tumbling, Trampolining, Acrobatics, Cheerleading, Dance, acrobatics, and/or Specialized Sports Training open workouts, or in the course of any exhibition, competition or clinic in which he or she may participate or while traveling to or from the event.
With the above in mind, and being fully aware of the risks and possibility of injury involved, I consent to have my child or children participate in the programs offered by Erie Gymnastics Center and or its representatives whether paid or volunteer.
I also affirm that I now have and will continue to provide proper hospitalization, health and accident insurance coverage which I consider adequate for both my child's protection and my own protection.
I've read the above and agree.
Medical Emergencies
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Medical Emergencies
I hereby voluntarily permit me or my child to participate in the Team Lightning Inc. / Erie Gymnastics Center Programs. I UNDERSTAND AND FULLY ACCEPT THAT THERE ARE RISKS INVOLVED IN SPORTS, AND THAT ACCIDENTS AND INJURIES ARE COMMON AND ARE ORDINARY OCCURRENCES OF SPORTS. I HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF INJURY OR DEATH, AND VERIFY THIS STATEMENT BY CHECKING THIS ELECTRONIC SIGNATURE BOX.
As consideration for being permitted by Team Lightning Inc. / Erie Gymnastics Center to participate in these activities, I hereby release and hold harmless Team Lightning Inc., its staff, volunteers, designated coaches, and program officials from all liability, and from all actions or claims that I or my child now or hereafter have for damage or injury to me or my child, or to any person or property, resulting from the negligence or other acts of any employees or volunteers in connection with me or my child's participation. I further agree that this waiver, release and assumption of risks is to be binding on the heirs and assigns of the undersigned. I further agree to indemnify and to hold Team Lightning Inc. / Erie Gymnastics Center (its officers, employees, agents and volunteers) free and harmless from any loss, liability, damage, cost or expense which they may incur as a result of any injury and/or property damage that I or my child may cause or sustain while participating in this activity.
In case of a medical emergency, I hereby give permission to Team Lightning Inc. / Erie Gymnastics Center, its Staff, Trainers and Volunteers to order treatment for me or my child, including any necessary medical treatment and x-rays. I also hereby give permission to Team Lightning Inc. / Erie Gymnastics Center Staff and Volunteers to disclose the information contained on this form to medical personnel. I understand that an attempt will be made to reach me by phone when a diagnosis is completed. I agree to pay all medical, hospital, or other expenses which my child or I may incur as a result of such treatment. Team Lightning Inc. also does not provide any medical or other insurance protection or benefits for those who participate in the Team Lightning Inc. / Erie Gymnastics Center Progrms.
I HAVE CAREFULLY READ THIS RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN ME AND TEAM LIGHTNING INC. AND ELECTRONICALLY SIGN IT OF MY OWN FREE WILL.
I've read the above and agree.
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