7800 EARHART Blvd   New Orleans, LA 70125   Gym Phone – 504-861-1740

                                      
                                                       INFORMATION / AGREEMENT

                     NAME of B/D GIRL / BOY ___________________________________________________

                     BIRTHDATE ______________________        AGE ________________________________

                     PARTY TOTAL w/15 Athletes is $ 300.00 (Plus $5 per child above 15 athletes) ~ DEPOSIT of: $100.00
                     If a double party an additional $100 will be added for the additional B/D boy or girl.  ______________

                     Days/Times to schedule - SATURDAY  2 or 2:30 PM / SUNDAY  10AM, 11AM or 12 NOON 

                      DATE _________________________   DAY ____________________  TIME _____________________

                     The parent/guardian of the above birthday athlete agrees to the following:

                      1.  This will be a PRIVATE scheduled party for 2 HOURS within the entire gym..
                      2.  The deposit will hold the party date/time and is non-refundable.
                      3.  The balance will be paid in full on the day of the party. (Cash-Check-Charge)
                      4.  The party includes a Crescent City Gym T-Shirt for the birthday child.
                      5.  The party SCHEDULE will be:      15 minutes   -  stretching
                                                                                    45 minutes   -  organized gym activities/games
                                                                                    15 minutes   -  organized free-play time
                                                                                    45 minutes   -  social food, cake & present
                      6.  The party will be coached by our trained/safety certified gym coaches.

                        By the very nature of these gymnastic activities there is a risk of physical injury.     No matter
                      how careful the athlete and coach are, the risk can be reduced by never eliminated.

                        I hereby release Crescent City Gymnastics LLC, owner(s), coaches, and all employees from 
                     all liability for any injury incurred by my child, or myself, while in any activity and/or in use of
                     this facility.       I understand my child’s participation in this gym program is by my own choice.

                     Please fill in the form with each name attending the party, w/parent/guardian signed/dated.

                     Please fill in the following information, sign and date.

                    __________________________________________   Contact Phone # ____________________
                              Parent/Guardian Name - Please Print
                __________________________________________________________
                                           # Street                                                       City / State                       Zip Code
                ________________________________
                              Parent/Guardian Signature