Try a Class – Nasium Gym

COMPLETE THE FORM BELOW

Complete the form below, and our office staff will call you within 24 business hours to set up your first class!

Your Information

Parent's Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address City State Billing Zip Code

How did you hear about Tumblenasium?(Required)

Please tell us how you heard about us.(Required)

Please tell us who referred you!(Required)

How many children?(Required)

Child #1

Child's Name(Required)

First Last

Child's Date of Birth(Required)

MM/DD/YYYY

Child #2

Child's Name(Required)

First Last

Child's Date of Birth(Required)

MM/DD/YYYY

Child #3

Child's Name(Required)

First Last

Child's Date of Birth(Required)

MM/DD/YYYY

Terms and Participation Waiver(Required)

Release of Liability: Participant hereby fully and forever releases, discharges, holds harmless and agrees to indemnify TumbLe-nasium, LLC from and against any and all liabilities, losses, damages, claims, demands, litigation, and judgments, present or future, known or unknown, foreseeable or unforeseeable, valid or invalid, direct or consequential, together with reasonable costs and attorney fees (collectively referred to herein as "Claims"), (i) which result, directly or indirectly, from bodily injury, illness, disability or paralysis (whether permanent, temporary, total or partial), death, or other harm to Participant, third parties, or Participant's property, or the property of third parties, and (ii) which are caused by or result, directly or indirectly, from Participant's attendance at and participation in the Activities, or otherwise. Such waiver, release, and indemnification applies to any Claims incurred during or in connection with, or otherwise caused by, arising from, resulting from, or connected to, any of the Activities and the conduct and management thereof by TumbLe-nasium, LLC., or any third party, including any risks or dangers referred to in assumption of risk paragraphs, above, whether such Claims result from the negligence of TumbLe-nasium, LLC. or from any other cause, to the fullest extent permitted by law.