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I understand that in gymnastics and dance, as in any sport that involves activity, there is a possibility of injury. An injury may be a bruise or a broken bone or a permanent disability(possibly paralysis) or even death. We are very concerned with safety in the gym and stress progression in skills, proper matting and equipment. I hereby consent to allowing my child/ward or children (named above) to participate fully in the programs of Mid-Illinois Gymnastics and Dance, Inc.  It is hereby agreed that I, my child or children adopted or otherwise, my executors, waive and release all rights and claims for damages that I may have at any time against Mid-Illinois Gymnastics and Dance, Inc. including all of its directors, officers and employees whether paid or volunteer for any injury or damages in connection with the gymnastics / dance activities and programs. The risks involved in respect to such a program are fully understood. I confirm that the person(s) named above is(are) in good health and authorize simple first aid and also emergency treatment if deemed necessary and I cannot be reached.

By signing this enrollment form, I agree to the above terms and conditions.

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