Registration
Already a customer? Click here to login.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Type
*
Father
Grandparent
Guardian
Mother
Other
Parent
Step Father
Step Mother
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State:
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NC
ND
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
*
Emergency Contact Info
*
Students entered below will be added to your family's account
Add New Student #1:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Additional Information:
Release of Liability
(Show-Hide Details)
As parent or legal guardian of the above named persons, I recognize that potentially severe injuries, including permanent paralysis or death can occur in sports or activities involving height or motion, including but not limited to inflatables, gymnastics, tumbling, cheerleading, clinics, camps, private lessons, birthday parties, birthday party guests, open gym, toddler time, and field trips. Being fully aware of these dangers, I voluntarily consent to the aforementioned persons participating in any and all programs at Downriver Gymnastics and I accept all risks associated with that participation. In consideration for allowing my child to use this facility, I, on my own behalf and the behalf of my child and our respective heirs, administrators, executors, and successors, hereby COVENANT NOT TO SUE and FOREVER RELEASE Downriver Gymnastics, its officers, directors, shareholders, employees or other representatives, whether paid or volunteer, from all liability for any and all damages or injuries suffered by my child while under the instruction, supervision, or control of Downriver Gymnastics. I also understand it's the parents responsibility to warn the child about the dangers of gymnastics and injury. The parent should warn the child according to what the parent feels is appropriate. Downriver Gymnastics will only warn the child thru safety signs and our teaching style and progressions. I also understand and give permission for photographs and videos of my child to be used in print or broadcast media as deemed appropriate for the promotion of Downriver Gymnastics.
I've read the above and agree.
Medical Emergency
(Show-Hide Details)
I confirm that my child is in good physical and mental health and I have medical insurance on my child and will provide coverage while he/she is enrolled. I fully understand that Downriver Gymnastics staff members are not physicians or medical practitioners of any kind. With the above in mind, I hereby release Downriver Gymnastics staff members to render temporary first aid to my child in the event of any injury or illness, and if deemed necessary by the Downriver Gymnastics staff to seek medical help including calling of an ambulance for said child. Additionally, I hereby agree to individually provide for all medical expenses, which may be incurred by my child as a result of any injury sustained while participating at Downriver Gymnastics.
I've read the above and agree.
COVID-19 Waiver
(Show-Hide Details)
By entering this facility, I am aware that I agree to fully accept all know and unknown risks, including the potential risk of exposure to respiratory illnesses such as Covid-19. I understand that Covid-19 is primarily transmitted via exhaled respiratory droplets, most often through coughing and sneezing. These droplets can travel up to six feet and are more commonly transmitted between persons rather than from equipment to persons. Although Downriver Gymnastics is regularly sanitizing equipment and using enhanced cleaning methods and enforcing social distancing, I understand that I or my child(ren) may be exposed to Covid-19 or its symptoms through no fault of the facility or myself. Known Covid-19 symptoms include fever, coughing, shortness of breath, pneumonia, kidney failure, and may include other symptoms, stroke or even death (collectively "symptoms"). Any student or staff member who travels further than 200 miles from his/her home outside the State of Michigan must quarantine for five days before returning to the gym or provide a negative Covid test. You will be credited or not charged for any practice day(s) missed due to the quarantine. I understand and agree that I will hold Downriver Gymnastics harmless and will not hold Downriver Gymnastics liable for any real or perceived symptoms of Covid-19 or any other disease, illness or conditioning, no for exacerbating any existing symptoms, and I fully agree to accept all risks of entering the facility, using the equipment, working with coaches, attending classes, and /or interacting or being exposed to other members.
I've read the above and agree.
Payment Information
(Show-Hide Details)
Payment is due at the time of registration. I understand that I will be charged the annual registration fee and any applicable class tuition for the month I am submitting my registration (prorated if necessary.) I understand that if I am enrolling my child in a reoccurring monthly program (not a special event) I must agree to the auto debit policy. I also understand that I am giving my permission to Downriver Gymnastics Inc. to charge my credit/debit card on the 25th of each month for the next months class tuition. If payment is declined then I understand that I will receive a $5.00 processing fee. I have until the 28th of the month to resolve my auto debit issue or my child will be dropped from the class due to non-payment, I will be required to pay a $5 re-enrollment fee to put him/her back into a class. I understand that if my child is dropped from class for non-payment they may lose their spot in their class and may not be able to be re-enrolled in the same class. If I choose to withdraw, I understand that I must SUBMIT A WRITTEN Request to Withdraw form to Downriver Gymnastics PRIOR to the 24th of the month preceding the month I am dropping (for example, you must submit your request to withdraw by August 24th if you wish to withdraw from September classes.) This form can be obtained in the Downriver Gymnastics office or at our website, www.downrivergymnastics.com, under the Contact Us page. When this form is submitted in person to the office staff, a receipt will be returned to me for my records. I understand that if my submission is received after the 24th of the month, I will be charged for the entire month. NO REFUNDS. Downriver Gymnastics will not provide a refund but will put a credit on your account to be used for any class, clinic, or pro shop purchases. I will be responsible for all costs incurred for collection of any delinquent payments, including but not limited to collection/attorney fees/court costs. Fees for other products and/or services shall be paid for at the time of purchase and/or registration. Downriver Gymnastics will only allow make-up classes in Open Gym, Clinics, or Drop-In Tumbling. This includes missed classes due to holiday, vacation, illness, weather, or any other reason. Students must be currently enrolled in classes to take advantage of a make up class. A $25.00 late fee will be applied to any outstanding balances on the 1st of each month. There is a $25.00 returned check charge for any checks returned by the bank.
We are a year-round program with a monthly tuition based on an average of four classes per month with all holidays and scheduled closings taken into account. If there are five classes in a month, we do not increase tuition. If there are three, we do not give credit.
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
Credit Card Verification:
Card Number:
*
Visa
Mastercard
Amex
Discover
Name as it appears on card:
*
Nickname:
Card Expiration Month:
*
01
02
03
04
05
06
07
08
09
10
11
12
Exp Year:
*
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
2055
Address Line 1:
Address Line 2:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip:
*
Please Wait...