Enrollment Form & Waiver 1 Child Enrollment Info2 Parent Info3 Athletic Participation Waiver Child #1*First NameLast NameAge Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child #2First NameLast NameAge Date of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone*Email* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date Enrolled*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child #1 Social Security NumberChild #2 Social Security Number Parent #1* First Last Phone*Parent #2 First Last PhoneRelative or Friend* First Last Phone*Requested Date* Date Format: MM slash DD slash YYYY Requested Time* : HH MM AM PM Impairment, Emergency or Special Information?*YesNoMedical Conditions If Yes, Please DescribePrimary Insurance Carrier*How Did You Find Us?*Signature* I am aware that participation in this sport may be a potentially dangerous activity involving many risks of injury. I understand that the dangers and risks of participation include, but are not limited to, injury to: ligaments, muscles, tendons and other aspects of my body which may include neck or spinal injury. Because of the dangers of the sport, I understand the importance of following the coaches’ instructions regarding techniques, training and other rules and agree to obey instructions.In consideration for allowing me to participate, I hereby assume all the risks associated with the sport of gymnastics and agree to hold the gym, it’s employees or agents harmless from any and all liability which may arise in connection with my participation in gymnasticsDROP OFF/PICK UP PROCEDURES Children can arrive 15 minutes prior to their class, any earlier will result in a $10.00 fee per each 15 minutes/Per Child. You must not be any later than 15 minutes after their class for pick up, or you will have a fee of $10.00 per every 15 minutes/Per Child,that your child is under the care of the gym.I, as the parent/legal guardian, have read the above warning and release and understand it’s terms. I understand the sport of gymnastics involves many risks, including but not limited to those outlined above. In consideration for the gym permitting my child to participate in gymnastics, I hereby agree to hold the gym, it’s employees and agents harmless from any liability which may arise in connection with participation of my child in gymnastics. The terms serve as a release.Parent Signature*Gymnast Signature* Baldy View Updates HAPPY NEW YEAR 2021!!! January 12, 2021 Support Small Business April 28, 2020 Planning a party? Need a hosting facility? April 4, 2014