I certify that I am the parent/legal guardian of ___________________ and give my permission for him/her to participate in gymnastics, cheer, dance, martial arts and related activities. In addition, I authorize Shasta Gymnastics Academy (SGA) and Sports Center to provide emergency medical treatment to my child in my absence, when a reasonable effort has been made to contact me. When deemed necessary 911 will be contacted and paramedics dispatched to the scene. My child and I are aware that there are inherent risks in gymnastics and the above listed activities, including but not limited to those of bodily injury, partial or total disability, paralysis and death. We accept and assume such risks and the responsibility for the losses and/or damages following such injury, disability, etc. and will not hold SGA in liability for such outcomes.