I request that this application be accepted for my son or daughter:
________________________________________________________________
                                       Enter gymnast's name!

to participate in gymnastics and/or dance at Quantum Gymnastics. I understand that
gymnastics, dance, or any sport that involves inversion in the air includes a risk of serious
injury, paralysis or death. I understand that Quantum Gymnastics, it's director, coaches
and guest clinicians have professional coaching experience and safety education and that
these persons take maximum precautions to ensure that all gymnasts and class partici-
pants are kept safe.

I hereby release Quantum Gymnastics, it's director, coaches or guest clinicians from
responsibility for any injuries sustained by my child while attending classes in gymnastics
or dance at Quantum Gymnastics, or while participating or performing in any exhibitions,
camps, clinics or workshops sponsored by Quantum Gymnastics.

Parent or Legal Guardian: ___________________________  Date:___________

I hereby agree that I have read each of the Safety Regulations and Bylaws of Quantum Gymnastics and do also hereby agree to abide by each and all of them.

Gymnast's Signature: _______________________________  Date:____________

I hereby declare that my gymnast (daughter, dependent) has read and agreed to abide
by each and all of the safety regulations and school bylaws:

Parent's Signature:__________________________________ Date:____________