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Aeon Fitness and Gymnastics · Registration Form
Training Center #1: 157 Patterson Street, Hillsdale, NJ 07642
Training Center #2: 270 Knickerbocker Avenue, Hillsdale, NJ 07642
[email protected] · 201-664-0304 · www.aeonfitgym.com
Please Print Clearly
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Siblings should be placed together on this form
In consideration of payment of class fees and use of the facilities at Aeon Fitness and Gymnastics, LLC., the
parent/guardian agrees as follows:
1. I have read, understand, and will abide by the policies/procedures/guidelines of Aeon Fitness and Gymnastics.
This pertains to normal policies/procedures/guidelines and additional including COVID
policies/procedures/guidelines. I agree to follow the rules and regulations when participating within the
programs of Aeon Fitness and Gymnastics.
Parent/Guardian Name: 1.) Cell Phone: _
2.) Cell Phone: _
3.) Cell Phone: _
Home Address: _
Home Phone: Work Phone: Other Phone: _
Email Address: All Siblings: _
Alternate Address: _
Student(s) Name: Date: _
Student DOB: Student Age: Grade: Sex: M / F _
Alternate Emergency Contact: Emergency Contact Phone: _
Relation to Student(s): _
Doctor’s Name: Doctor’s Phone: _
Insurance Company: Allergies: _
Medical, Physical, and/or Mental Limitations, Conditions: _
List all Medications: _
Additional Notes: _
To be completed ONLINE only
(No email or paper copies of form)
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2. I understand that there are no refunds, only credits, and 1 make up class permitted per session in normal
circumstances other than in COVID pandemic. There are no refunds, credits, or make up classes available
during COVID.
3. Participant is currently medically and physically able to partake in all classes or activities at Aeon Fitness and
Gymnastics. I will notify Aeon Fitness and Gymnastics of any changes in the medical condition of my child.
In consideration of participating in the programs at Aeon Fitness and Gymnastics, I understand the nature of
the activity and that I and/or my child (named on this Form) is qualified, in good health, and in proper physical
condition to participate in such activity.
4. In case of emergency, I authorize employees of Aeon Fitness and Gymnastics to contact and/or secure medical
attention for the participant.
5. I hereby release, discharge, and covenant not to sue Aeon Fitness and Gymnastics, its respective
administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors,
advertisers, and, if applicable, owners and lessors of premises on which the activity takes place, (each
considered one of the “releasees” herein) from all liability, claims, demands, losses, or damages on my
account caused or alleged to be caused in whole or in part by the negligence of the “releasees” or otherwise,
including negligent rescue operations and future agree that if, despite this release, waiver of liability, and
assumption of risk I, or anyone on my behalf, makes a claim against any of the “releasees”, I will indemnify,
save, and hold harmless each of the “releasees” from any loss, liability, damage, or cost, which any may incur
as the result of such claim.
6. I fully understand and acknowledge that: there are risks and dangers associated with participation in
gymnastics/fitness activities and events, including but not limited to bodily injury, partial and/or total
disability, paralysis and death; and accepts and assumes such risks and responsibilities for the losses and/or
damages.
7. If either party should undertake legal action to enforce any of the terms of this Agreement, the prevailing party
therein shall be entitled to reasonable attorney fees and costs of suit incurred in connection therewith, in
addition to any other relief awarded.
8. This Agreement shall be governed by and construed in accordance with the laws of the State of New Jersey
without giving effect to principles of conflicts of law. The exclusive jurisdiction and venue of any action
arising under this Agreement shall be New Jersey Superior Court, Bergen County.
9. A determination by a court of competent jurisdiction that any provision of this Agreement or any part thereof
is illegal or unenforceable shall not cancel or invalidate the remainder of such provision or this Agreement,
which shall remain in full force and effect.
10. I agree that this waiver and release Agreement covers each and every activity at Aeon Fitness and Gymnastics
and the releases are released as to each and every time the participant comes to Aeon Fitness and Gymnastics.
11. I understand that media such as photographs and/or videos of participants may be taken and used for Aeon
Fitness and Gymnastics’ official use and display. My child’s name will not appear alongside of any media
type.
12. I give permission to Aeon Fitness and Gymnastics to send updates and/or promotions through mail and email
at any time.
The annual Registration Fee of $30 is non-refundable and non-transferable. The fee is required for each child.
I have read the above waiver and release. I understand that I have given up substantial rights by signing it and sign it
voluntarily.
Printed Name of Parent/Guardian:______________________________________________________________
Signature of Parent/Guardian:_________________________________________________________________
Date:___________________________________________
