Gymnastics of America
Rhythmflex
602-A East Diamond Avenue
Gaithersburg,MD 20877
(301) 977-3262
www.gymnasticsofamerica.com


I have received and read Gymnastics of America rules and policies with regard to the program(s) that I have indicated on this registration form. I understand that violation of the club regulations may result in the dismissal of me/my child(children) from the program and facility. I take full responsibility for all payment of expenses and legal fees. If I fail to make payments to Gymnastics of America regarding my child/children programs, the staff of Gymnastics of America has the right to not allow me/my child(children) to participate in any of the programs or competitions.



MEDICAL AGREEMENT AND MEDICAL RELEASE



All precautions will be taken to prevent accidents. Simple first aid will be provided to all minor injuries. Parents/Guardian/Spouse will be be contacted when necessary. I hereby release all rights and claims for damages that I have at any time against Gymnastics of America and it's representatives, whether paid or volunteer, for any injuries or damages in connection with the gymnastics program or other activities related to Gymnastics of America. The risks involved in respect to such programs are fully understand and have been explained to me and my child(children). I hereby give permission for me/my child/children to be taken to a nearby hospital to be treated (including x-rays) in case I cannot be reached in an emergency.




Parent/Guardian Signature:__________________________________________Date:__________



Printed Name:__________________________________________________________

**Please make checks payable to Gymnastics of America and include your child's name on your payment.