Acro Skills Training Series | FIRST-CLASS TRIAL | Liability Waiver & Registration

Acro Skills Training Series | First-Class Trial | Liability Waiver & Registration

Amanda Marie Training
Please select the date you are interested in participating in a First-Class Trial.

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please select which class you are interested in registering your athlete for.
Basic Prerequisites:

Intermediate/Advanced Acro Skills Class Series
- Cartwheel
- Handstands
- Backbend from standing & up
Advanced Acro Skills Class Series
- Side Aerial
- Front & Backwalkovers
Athlete Information
Athlete Name

First NameLast Name
Athlete Age
Current Acro/Tumbling Experience Level
Activity experience

Other
To help provide individualized coaching, please share any goals, skill progressions, upcoming auditions, or areas of focus the athlete would like to work toward during the training.
Parent/Guardian Name

First NameLast Name
Parent Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent Email
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Current Injuries/Restrictions
Allergies or Medical Conditions
Liability Waiver
PARTICIPATION WAIVER & RELEASE OF LIABILITY
I, the undersigned parent or legal guardian of the participant listed in this registration form, acknowledge and understand that participation with Amanda Marie Training and related movement programming involves physical activity and inherent risks, including but not limited to falls, collisions, sprains, fractures, illness, and other potential injuries associated with dance, tumbling, acrobatics, conditioning, flexibility training, and athletic movement activities. I certify that the participant is physically able to participate in these activities and agree to disclose any relevant medical conditions, injuries, allergies, or physical limitations that may affect participation. I understand that Amanda Marie Training will take reasonable precautions to promote a safe training environment; however, I voluntarily assume all risks associated with participation. In consideration for participation in this program, I hereby release, waive, and discharge Amanda Marie Training, Amanda Bernett, studio rental facilities, assistants, contractors, and affiliates from any and all liability, claims, demands, actions, or causes of action arising from injury, illness, loss, or damages related to participation in the program, except in cases of gross negligence or willful misconduct.
The following selection serves as my agreement/signature for Liability Waiver acknowledgement.
EMERGENCY MEDICAL AUTHORIZATION
After your first-class trial, Amanda Marie Training will reach out with follow-up information on registration options for your preferred training.

Thank you for your interest in working together!
The following selection serves as my agreement/signature for Emergency Medical Authorization.
PHOTO & VIDEO PERMISSION
During classes, workshops, and training sessions, photos and/or videos may be taken for instructional, promotional, and marketing purposes, including use on the Amanda Marie Training website and social media. The following selection serves as my agreement/permission for Photo & Video Use.
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Guardian Name

First NameLast Name
E-signature

Payment can be selected here or paid via Zelle to Amanda Bernett at (314) 919-5292 or hello@amandamariedo.com. Payment can also be brought in person in the form of cash or check.

First-Class Trial — $20

$20.00 Quantity

Total

Payment Methods

Debit or Credit Card

ACH Bank Transfer

After your first-class trial, Amanda Marie Training will reach out with follow-up information on registration options for your preferred training.

Thank you for your interest in working together!
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Acro Skills Training Series | First-Class Trial | Liability Waiver & Registration

Athlete Information

Liability Waiver

PARTICIPATION WAIVER & RELEASE OF LIABILITY

EMERGENCY MEDICAL AUTHORIZATION

PHOTO & VIDEO PERMISSION

Payment can be selected here or paid via Zelle to Amanda Bernett at (314) 919-5292 or hello@amandamariedo.com. Payment can also be brought in person in the form of cash or check.