U.G.I. Student Registration Form
  • Eligibility to participate in a program at Universal Gymnasts, Inc. requires a completed registration form every Fall with release of liability, emergency medical authorization, and full tuition on or before the first day of class.
    Annual Family Registration Fee: $50.00 for classes (non-refundable)
  • / /
  • Class Day Time Start Date
    Desired Class
  • / /
  • Class Day Time Start Date
    Desired Class
  • Parent/Guardian Information - Please fill out form completely.

  • - -
  • - -
  • - -
  • In consideration of the permission granted my child to participate in a Universal Gymnasts, Inc., class, competition, team, including non-gymnastics activities such as swimming and playground activities (hereinafter referred to as the "Activity"), I, the legal guardian of the above-named child, make the following representations:

    (1) I understand the nature of the Activity that my child will participate in, and I represent that, to the best of my knowledge, my child is qualified, in good health, and in proper physical condition to participate in the Activity. I further represent and acknowledge that, should I ever believe that any of the above representations become untrue, or if I should ever believe that the Activity is not safe or is no longer safe for my child, that it will be my responsibility to immediately discontinue my child's participation in the Activity.

    (2) I understand that the Activity involves risks of serious bodily injury, including permanent disability, paralysis, and death, which may be caused by my child's actions or inactions, those of others participating in the Activity, the conditions in which the Activity takes place, or the negligence of the "releasees" named below. I further understand that there may be other risks either not known to me or not readily foreseeable at this time, and I fully accept and assume all such risks and all responsibility for losses, cost, and damages that I may incur as a result of my child's participation in the Activity.

    (3) As a legal guardian, I understand I may be asked to enter the main gym to view or witness awards week or any other activity and that this may involve risk of injury from negotiating obstacles while in the gym. I further understand that there may be other risks either not known to me or not readily foreseeable at this time, and I fully accept and assume all such risks and all responsibility for losses, cost, and damages that I may incur as a result of my child's participation in the Activity.

    (4) I hereby give my approval of and consent to my child's participation in the Activity. I assume all risks and hazards incidental to the Activity and to transportation to and from the Activity. I hereby release, acquit, covenant not to sue, and forever discharge, and agree to indemnify and save harmless Universal Gymnasts, Inc., Ninja Stars, its owners, officers, administrators, employees, agents, volunteers, sponsors, advertisers, coaches and supervisors, and the owners or lessors of any facilities within which the Activity is conducted (including but not limited to STEMA, Inc.), their agents and employees, and all other persons providing facilities or assisting in the conduct of the Activity and in the transportation of participants to and from the Activity, of and from any and all actions, causes of action, claims, or demands, of whatever name or nature arising out of injuries to or death of the above named child as a result of the Activity and the transportation of the above named child thereto and therefrom.

    (5) In the event my child is injured or becomes ill when I am not present and reasonable efforts to contact or (other legal guardian) have been unsuccessful, I hereby give my consent for (1) the administration to my child of any treatment deemed necessary by any licensed physician or dentist; and (2) the transfer of my child to any hospital that is reasonably accessible. This authorization does not cover major surgery unless the opinions of two other licensed physicians or dentists, concurring in the necessity for such surgery, are obtained prior to the performance of such surgery.

    (6) An inherent risk of exposure to COVID-19 exists in any place where people are present. COVID-19 is an extremely contagious disease that can lead to severe illness and death. According to the Centers for Disease Control and Prevention, senior citizens and guests with underlying medical conditions are especially vulnerable. By entering the Universal Gymnasts, Inc. facility, you voluntarily assume all risks related to exposure to COVID-19.

    (7) I have read the Policies and Procedures for legal guardians, spectators, and participants in the Activity and/or the Team Handbook and agree to abide by all rules and conditions set forth therein and to accept the judgment of the program officials in this regard. I have read this release and understand all of its terms. I understand that by signing this release, I am giving up substantial rights. I execute it voluntarily and with full knowledge of its significance.

  • If a friend referred you, please type their name here so we may award their account $10.00.
  • Please enter your full name.
  • Please enter your full name.
  • / /
Powered byEMF Free Form Builder
Report Abuse