RUBY’S TUMBLING RELEASE FORM

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Student’s Name_________________________________________________________

Date of Birth_______________________________________Age_________________

Address__________________________________________________________________

City_________________________________________________Zip__________________

E-mail___________________________________________________________________

Parent’s Name__________________________________________________________

Cell#____________________________________________________________________

Parent’s Name___________________________________________________________

Cell#_____________________________________________________________________
The undersigned hereby release and holds harmless RUBY’S TUMBLING and instructor from any and all claims by reason of COVID-19, accidents, illness, injury, death, or other consequence arising or resulting directly or indirectly from participation in the tumbling class. The undersigned recognize RUBY’S TUMBLING is not responsible for children before and after class time.

Parents Signature____________________________________________Date_________