You may Print this Form & then Fill it out,
or Fill it out Online and then Print it!

Child's Name:  
Age:  
Address:  
City, State & ZIP Code:  
Phone #:  
Insurance Company:  
Policy #:  
Class Number &
Description (First Choice):  
Class Number &
Description (Second Choice):  
Amount Enclosed:  
Please add $12 membership fee to registration fee
for each gymnast if not already paid for current year.
(Membership fee runs for a full year from the day you pay it.)

RELEASE: I hereby for myself, my children adopted or otherwise, my heirs and executors, waive and release any and all rights and claims for damages that I may have at any time against American Gold Gymnastics, their agents or representatives; for any injury or damages that may be suffered by me, my child adopted or otherwise, in connection with my association or entry in gymnastics or other activities sponsored by American Gold Gymnastics. I understand that participation in gymnastics activities involves motion, rotation and height in a unique environment and as such carries with it the risk of serious injury. I also understand this enrollment is for a full session (unless a late starter) and I am responsible for the full session fee.

Parent's Signature________________________________________