Vacation Register-StarDust Gym

Day camp runs from 9 am to 1 pm. Children are to bring their own lunch. Fee = $40.00/day (3 consecutive days only $105.00!)

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Consent to Photograph:
I/we hereby authorize Stardust Gym to use pictures taken of my child (children) for the Stardust Gym website and promotional purposes including, but not limited to, public newspapers and brochures. YES NO

Waiver of Liability
I/we acknowledge that the activities the children will be participating in at Stardust Gym may be dangerous and involve many risks of injury such as, but not limited, to death, neck or spine injury, brain damage and injury to bones, muscles and other aspects of the body. The intent of Stardust Gym is to provide for the safety and protection of the children and I/we, the undersigned, assume all the risks associated with the activities and agree to hold Stardust Gym, it’s officers and employees harmless from any and all liability, causes of action, debts, claims, or demands of any nature whatsoever which may arise in connection with my child’s participation. The terms hereof serve as a release. I/we warrant our child(children) is/are physically fit to participate in the activities.

I/we the parent(s) or legal guardian(s) have read the above warnings and release and understand it’s terms. If signing this document digitally, typing your name and date in the fields below will act as your signature. YES I ACKNOWLEDGE & AGREE

612 Plymouth Street, Unit 3R East Bridgewater, MA 508.378.2223 www.StardustGym.com