JOHN OROZCO CLINIC Girls Team
Sunday, December 21, 2014
GIRLS TEAM
2:00pm-4:30pm
Cost: $30

Autographs & Pictures 4:30pm-5:30

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  • Enter NONE or list any allergies or special information
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  • Mother's Name or Main Guardian's Name
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    Mother's Cell Phone or Main Guardian's Cell Phone
  • Mother's e-mail or Main Guardian's e-mail
  • Emergency Contact other than Parent or Guardian.
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    Emergency Phone Number other than Parent or Guardian
  • Event Schedule:
    1:30 Doors Open (Parents welcomed to watch from balcony)
    2:00pm Warm Up
    2:30pm-3:00 (V,UB,BB,FX)
    3:00pm-3:30 (UB,BB,FX,V)
    3:30pm-4:00 (BB,FX,V,UB)
    4:00pm-4:30 (FX,V,UB,BB)
    4:30pm-5:30 Speech, Autographs & Pictures with Olympian, John Orozco
  • PAYMENT INFORMATION:
  • *If paying by cash or check, payment must be made by Friday, November 21.
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  • RULES/POLICIES, WAIVER/RELEASE & ACKOWLEDGEMENT:

    Read below and check marked boxes to confirm.
  • PAYMENT: No registration will be valid without payment.

    CLOSURES: In the event of inclement weather or for some other emergency, the gym may have to be closed. Call (914) 238-4967 or visit our website at worldcupgymnastics.com for closure details and updates.

    REFUNDS/CREDITS: No refunds will be given unless notified by the Friday before the scheduled John Orozco Clinic. Exceptions are only allowed with a doctor's note.

    WHILE AT WORLD CUP GYMNASTICS: Parents and non-participating siblings are not allowed on the gym floor. Spectators may observe the event from the halway or the balcony. Do not call out or distract your child during the event. Children under the age of 12 who are not participating in the John Orozco Clinic may not be left unattended on the premises, and children must be supervised at all times. Have your children obey the Gym Rules and Policies at all times. World Cup is not responsible for any lost or stolen items. Valuable items may be left with the front desk.
  • WAIVER: World Cup and its staff recognize our obligation to make our clients aware of the risks and hazards associated with the sport of gymnastics, tumbling, trampoline, cheerleading, Romperee, etc. World Cup Gymnastics and its staff will not accept responsibility for injuries sustained by any child, parent and/or caregiver during the course of any gymnastics activities and/or while arriving or departing or waiting anywhere on World Cup Gymnastics premises. Parents and/or caregivers should be aware of, and educate their children about the possibility of injury. Parents and/or caregivers should also encourage their children to follow all safety guidelines and World Cup staff instructions. Gymnastics can be dangerous and lead to injury. Students, parents and/or caregivers may suffer injuries, possibly minor, serious or catastrophic in nature.

    Therefore, being fully aware of the risks and possibility of injury involved, I consent to have my child and/or myself participate in the programs offered by World Cup Gymnastics. I waive and release all rights and claims for damages that I or my child may have against World Cup Gymnastics and/or its representatives and staff, whether paid or volunteer. With this in mind, in the event of an injury or illness to my child or myself, and with the knowledge that World Cup staff members are not physicians or medical practitioners of any kind, I consent to the administration of temporary first aid to me and/or my child by World Cup staff if they deem necessary, contacting a doctor and/or seeking medical help, transportation by a World Cup staff member and/or its representatives, whether paid or volunteer, to any health care facility or hospital, calling 911 and/or an ambulance, etc. I also affirm that I now have and will continue to provide proper hospitalization, health and accident insurance coverage which I consider adequate for both my child's and/or my own protection. I also understand that it is my responsibility to continually remind my child about the dangers of gymnastics, tumbling, trampoline, cheerleading, Romperee, etc. injury. World Cup Gymnastics staff members will continually remind the children, parents and/or caregivers of safety guidelines during our programs, as well as post signs throughout the premises.

    PHOTO RELEASE: I authorize that World Cup Enterprises LLC has the right to use all photographs or videos taken of my child or children during the John Orozco Clinic for advertising or promotional materials, or on its website.
  • I accept World Cup's Rules/Policies, Waiver/Release & allow my payment to be processed by World Cup administration.
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