Open Gym Waiver Open Gym Waiver Date Of Open Gym* Name of individual participating in open gym* First Last Name of additional individuals participating in open gym Parent or guardian name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone Number*Hold Harmless Agreement*The undersigned, in consideration of participation in this program, agrees to indemnify, defend, hold harmless and release Miss Maria’s Dance, Cheer & Gymnastics, Inc., its officers, directors, instructors, employees and/or assigns, from any and all direct or indirect liabilities, injuries and/or death, costs, damages and reasonable attorneys’ fees, which may be suffered by the below named individual registered in this program arising out of or in any way connected with participation in the program including parties and special events. I agree Today's Date* MM slash DD slash YYYY Number of Children1 Child2 Children3 Children4 ChildrenTotal $0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Upcoming Events There are no upcoming events. View Calendar Add Add to Timely Calendar Add to Google Add to Outlook Add to Apple Calendar Add to other calendar Export to XML
