The form below is a generic participation form for Tumble City events or classes.  A separate form is needed for each individual and each class or event.  Some events or classes may require an additional form to be completed at the site.  To ensure your reservation for the class or event be sure to mail a payment with your form.  Please print the form and mail it with your payment to:
Tumble City, 1096 5th Street #201, Calimesa, Ca  92320
 

Tumble City Participation Form

Name:_________________________________________Phone:_______________________________

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Address                                            City                                               State              Zip

Date of Birth:__________________________Gender: _____Male   _____Female

Emergency Phone(s):___________________________________________________________________

Emergency Contact:____________________________________________________________________

Name of Class or Event:_________________________________________________________________

Day(s):____________________________Time(s):__________________________ Fee:___________
We, the undersigned, do hereby give permission for the above named individual to participate in the above named class or event and acknowledge the risk herein.  We understand that any activity involving motion or movement can result in injury and therefore acknowledge full responsibility for such risk.  We hold harmless Tumble City, Cheryl Hunter and Family, Wendy Dinkel and Family, the 5th Street Business Plaza and the City of Calimesa in the event of accidental injury or death before during or after any Tumble City event or activity.  We further understand that all fees paid are non-refundable unless otherwise determined applicable by Tumble City owners.

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signature of parent or guardian         date         signature of parent or guardian              date