Parents Night Out Info and Registration Form

Parents Night Out At Spivey’s Gymnastics

Your child can enjoy a fun-filled evening with pizza & juice, gymnastics, games and a movie.
Parent’s Night Out is open to members and non members and is typically held the 3rd Friday of each month. Please check with the office prior to the registering for the next scheduled Parent’s Night Out. Any child may come provided they are between the ages of 5 and 14.

Cost: $25 1st child

Family: $5 off the 2nd child $10 off 3rd and additional children

All fees and registration form are due the Wednesday prior to each scheduled Parents Night Out.
Both fees and registration form MUST be submitted to secure your child’s spot.

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Spivey's Gymnastics
61 S Jackson St
Winder, GA 30680-2014

770-586-5797

Parents Night Out Registration Form

Child’s Name______________________________ Age____
Date of Birth __________________

Address______________________________________
City _______________ State _________

Mother_______________________________________ Cell Phone____________________

Father_______________________________________ Cell Phone________________________

Any known medical condition/food allergies___________________________________________

______________________________________________________________________________

______________________________________________________________________________

ACKNOWLEDGE OF RISK AND WAIVER OF LIABILITY

I hereby consent to my child participating in the programs of Spivey’s Gymnastics International, Inc. I understand that injuries can occur and risk is involved in any athletic activity, especially gymnastics, which involves both height and motion. I further agree that Spivey’s Gymnastics International, Inc, along with the employees, agents, officers and directors shall not be liable for any damages or losses occurring as a result of my child’s participation in gymnastics, including transportation to and from activities, except where such damage is the result of the intentional or reckless conduct of one of the above mentioned individuals.

Parent’s Signature_______________________________________ Date___________________________