GYMNASTICS CLUB, INC.

MINOR CONSENT AND ASSUMPTION  OF RISK STATEMENT

In consideration of membership in the Gymnastics Club Inc., the parent (s) and /or legal guardian (s) of the minor Participant named below agreed.

                1.  The parent(s) and/or legal guardian(s) to and will instruct the minor

                      participating in any USA Gymnastics and/or members activity or

                      event and regularly thereafter, that he or she should inspect the facilities

                      and equipment  to be used, and if he or she believes anything is

                      unsafe, the participant should immediately advise the instructor of

                       such condition and refuse to participate.

               2.   Participant shall be instructed to and shall carefully review and follow all

                      USA Gymnastics safety guidelines.

               3.   I/We fully understand and will instruct the minor participant that:

                     A.  There are risks and dangers associated with participation in gymnastic

                            events and activities including but not limited to those of bodily injury,

                            partial and/or total disability, paralysis and death. 

                      B.  The social and economic losses and/or damages, which could result from

                             those risks and dangers described above, could be severe.

                      C.  These risks and dangers may be causes by the negligence of the

                             participant or the negligence of others.

                      D.   There may be other risks not known to us or are not reasonably foreseeable

                              at the time.

                4.  I/We accept and assume such risks and responsibility for the losses and/or

                     damages following such injury, disability,  paralysis/or death, however caused                          

                     or alleged to be caused in whole or in  by the negligence of  the USA

                     Gymnastics, its members, officials, sponsors, advertisers,  directors, agents                          

                     and  employees.    

                 5.  I/We agree that this Consent and Assumption of Risk Statement covers each

                       and every event or activity sponsored by the Gymnastics Club, Inc.

I/We Have Read The Above Waiver And Sign It Voluntarily.

________________________________________                        _                                     Parent or Guardian Signature/Relationship                                               Date

________________________________________                                                

Parent or Guardian Signature/Relationship                                               Date

Printed Name of Participant:  _________________________________________

Address of Participant:  ______________________________________________

Printed Name of Parent or Guardian:  _________________________________

Member Institution:   Gymnastics Club, Inc.

                                            1805 S. W. Adams Blvd.

                                           Bartlesville, OK  74004