Register | Gymnastics

June 22nd
Gymnastics
Top Notch Gymnastics
Concord, NC

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Powerade State Games Gymnastics Registration Form

Have questions? Please e-mail us at poweradestategamesnc@ncsports.org.

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Categories*

Team Registration

You will be charged $45 for each Non-Sanctioned gymnast and $55 for each Sanctioned gymnast.

Team Member Log-in

Individual Registration - $45.00

$45 base registration fee. $10 additional charge for sanctioned.

Participant Information

Team Selection

Team*

Team password

Setup Team Information

Team Name *

Team Password*

We will send you an email with instructions and a link to register.
You can forward this email to the members of your team.

Email *

Participant First Name *

Participant Last Name *

Participant Birthdate *

Participant Gender *

Male

Female

Country Address

Street Address *

City *

State *

Zip Code *

Phone *

Emergency Contact Name *

Emergency Phone *

What division are you participating in? *

Do you wish to participate in the Sanctioned or Non-Sanctioned division? *

What is your USAG #? *

How many gymnast will be competing in a Sanctioned Level? ($55)

How many gymnast will be competing in a Non-Sanctioned Level? ($45)

Please list any athletic achievements.

Powerade State Games Refund Policy

There will be NO REFUNDS. In order to protect the health and safety of all participants, I understand and agree that North Carolina Amateur Sports may determine that the event may be terminated at any time with no refund and I may not be able to participate or compete in the event. There will be no refunds for bad weather situations, force majeure events, acts of God, etc.

I acknowledge that I have read and agree to the Powerade State Games Refund Policy. *

Click here to view the Powerade State Games Privacy Policy.

Make a Donation

North Carolina Amateur Sports

Donation $

NCAS is a 501(c)(3) nonprofit, charitable organization. Your contribution is tax deductible under the guidelines of the IRS. All donations assist with keeping registration fees as low as possible and with aiding us in carrying out our mission of promoting health and wellness for all ages and skill levels.

Waiver

In consideration of being allowed to participate in any way in the STATE GAMES OF NORTH CAROLINA athletic/sports program and its related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS NORTH CAROLINA AMATEUR SPORTS, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

5. I grant to North Carolina Amateur Sports my permission to use without charge any and all photographs, video reproductions or other like kinds of image productions taken during the event.

6. I understand that North Carolina Amateur Sports and it’s Staff are not responsible for loss, theft, or any damages to
personal property.
 
7. I have read and agree to the Powerad State Games of North Carolina Cancellation and Refund Policy.   

8. I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I
have given substantial rights by consenting to it freely and voluntarily without any inducement.   

FOR PARTICIPANTS OF MINORITY AGE
(UNDER AGE 18 AT TIME OF REGISTRATION)
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.

Read through the agreement

By checking this box, you agree that you have read, understood and agreed to: (i) the waiver(s) above* and (ii) the N.C. Amateur Sports' Privacy Policy* , and represent that you are 18 or older, or have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian.

Are you 18 or older?*

18 or older Under 18

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Cardholder Last Name

Cardholder Address

Cardholder Country

City, State, Zipcode

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Exp. Date /

CVV Code

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