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AAU Release Form

GYMNASTICS ETC

AAU STATE

May 16, 2010

    In consideration on your acceptance of my entry, I, intending to be legally bound do hereby, for myself, my heirs, executors, and administrators, waive, release, and discharge any and all rights and claims for damages, which I may, or which may thereafter accrue to me against the U.S.T.A. and A.A.U. Association, Gymnastics Etc, Illinois State University, Gymnastics Etc Booster Club, or respective officers, representatives, agents, successors, and/or assigns for any damages which may be sustained by me in connection with my association with or entry in the above competition, or which may arise out of my traveling to or from said competition at Illinois State University, May 16, 2010.

 

Name

Age as of 12/31/09

Sex

Tumbling

Double Mini

Trampoline

Parents Signature

Paid

 
 







 
 







 
 







 
 







 
 







 
 







 
 







 
 







 
 







 
 







 
 







 
 







 
 







 
 







 
 







 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gym Name                                                                    Address                                                         City                 Zip                       

Phone Number                                    Fax Number                                       Email Address                                                                       

Gym Colors                                           Coaches Names and Numbers