fallregistration2024to2025sponsorship

Fall Registration 2024 to 2025 Sponsorship

First Name

Last Name

Grade

Age

School

Gender

Shirt Size

Parent First Name

Phone

Email Address

Address Line 1

Address Line 2

City

State

Zip Code

Ethnicity Ethnicity Hispanic, Latino Asian White Black or African American Hawaiian or other Pacific Islander American Indian or Alsaka Native Multi Race Other

Household Income Household Income Less than 15K 15 - 25 K 25 - 45K Less than 100K

Emergency First Name

Emergency Last Name

Emergency Contact #

Allergies or Special Notes about your child

Photography Photography You can use my childs photo in social media posts You may not use my childs photo

5 + 9 =

To participate in The Lord’s Gym Vancouver. I hereby state that I am voluntarily allowing my child/children to participate in this program, and I recognize that certain risks and dangers inherent in the participation in this type of activity. I understand The Lord’s Gym Vancouver cannot and does not guarantee or insure the safety of my child. I am willing to assume any risk of personal injury or property damage to my child/children in order to allow him/her to participate in this program. In consideration of The Lord’s Gym Vancouver allowing my child/children to participate in this program, I hereby agree to release, hold harmless, and defend the city of Vancouver, The Lord’s Gym Vancouver and their officials, administrations, employees, coaches, volunteers, and agents from any and all claims for damages and/or injury to my child. I, the parent/guardian, will be responsible for picking up my child from this event. I further understand that I may be contacted if such an event was to occur.