Registration
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Camp runs Monday-Friday, 8:30 a.m.-12:00 p.m. Extended care available from 7:00-8:30 a.m. at a cost of $5.00 per day, per child. Renewal of Gymnastics Ontario registration fee is required if not paid for 2019-20. Platinum discounts will be added before payment is processed. Please feel free to contact our office if you have any questions at (905) 839-5260.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State/Prov: * Postal Code: *
Emergency Contact Info*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
We welcome and accommodate participants of all abilities. Does your child require 1:1 support? If yes, please contact our office to complete registration. If no, please proceed to next question.*
What size T-shirt does the Camper wear?*
Is this your first time registering with Pickering Athletic Centre? How did you hear about us?*
Classic or Platinum Membership?(see our website for details)*
How old will your child be when attending camp?*
My child is fully toiled trained. PAC requires all camp participants to be fully trained. Please send extra clothing in case of accidents.*
I will require extended care between 7:00 a.m. and 8:30 a.m.? ($ 5.00 per day plus HST) **must be booked a minimum of 24 hours in advance***
What approximate time will you be dropping off your child/ren?*
My child would like to be grouped with his/her friend. (Please list friend in comments box.
 
Additional Information:
 
Camp Policy
Camp cancellations must be made within 30 days of the camp date. Cancellations made less than 30 days before the camp date are subject to a cancellation fee of $50.00. The Gymnastics Ontario registration fee that is due upon enrollment is non-refundable. A medical note will be required for all other cancellations.
I've read the above and agree.
 
Binding Legal Agreement
This is a binding legal agreement; therefore clarify any questions or concerns before signing. As a Participant participating in the sport of gymnastics, including training, competitions and practices (collectively the "Activities"), the undersigned, being the Participant and the Parent/Guardian of the Participant (collectively the "Parties") acknowledge and agree to the following terms:
I've read the above and agree.
 
Disclaimer
The Pickering Athletic Centre and its trainers, instructors, agents, and representatives (collectively the "Pickering Athletic Centre") are not responsible for any injury, personal injury, damage, property damage, expense, loss of income or loss of any kind suffered by a Participant during, or as a result of, the Activities, caused by the risks, dangers and hazards associated with the Activities.
I've read the above and agree.
 
Description of Risks
The Participant is participating voluntarily in the Activities. In consideration of that participation, the Parties hereby acknowledge that they are aware of the risks, dangers and hazards and may be exposed to such risks, dangers and hazards. The risks, dangers and hazards include, but are not limited to, injuries from:
Executing strenuous and demanding physical techniques in gymnastics;
Dryland training including weights, running and massage;
Vigorous physical exertion, rapid movements, quick turns and stops, and strenuous cardiovascular workouts;
Exerting and/or stretching various muscle groups;
Collisions with walls, any gymnastics apparatus, floors or mats;
Falling, tumbling or hitting any gymnastics apparatus, the floor, mats or other surfaces;
Physical contact with other participants (including spotters whose role is to enhance safety and learning);
Failure to properly use any of the gymnastics apparatus;
Failure to participate within one's abilities;
The mechanical failure of any of the gymnastics apparatus;
Spinal cord injuries which may render me permanently paralyzed; and/or
Travel to and from competitive events and associated non-competitive events which are an integral part of the Organization's activities.

Furthermore, the Parties are aware:
That injuries sustained can be severe;
That the Participant may experience anxiety while challenging himself or herself during the activities, events and programs;
That the Participant may come into close contact with other participants;
That the Participant's risk of injury is reduced if the Participant follows all rules established for participation; and
That the Participant's risk of injury increases as the Participant becomes fatigued.

I've read the above and agree.
 
Release of Liability
Release of Liability
In consideration of the Pickering Athletic Centre allowing the Participant to participate, the Parties agree:
That the Participant's physical condition has been verified by a medical doctor to participate;
To freely accept and fully assume all such risks, dangers and hazards and possibility of personal injury, death, property damage, expense and related loss, including loss of income, resulting from the Activities;
To forever release the Pickering Athletic Centre from any and all liability for any and all claims, demands, actions and costs that might arise out of the Participant's participation in the Activities, or from any breach of contract.

I've read the above and agree.
 
Medical Emergencies
The undersigned gives permission for Pickering Athletic Centre, owners, officers, employees, and /or agents to seek emergency medical treatment for the participant(s) in the event they are unable to reach any parents or guardian. The undersigned also agrees that they themselves will be responsible for any financial debt incurred by said action.
I've read the above and agree.
 
Food & Drinks
Pickering Athletic Centre is a peanut/nut aware facility. Food containing nuts or nut by-products are NOT permitted. Although Pickering Athletic Centre is a peanut/nut aware facility, it is not guaranteed to be a peanut/nut free environment.
I've read the above and agree.
 
Consent for Use of Personal Information
I authorize Pickering Athletic Centre Inc. to collect and use personal information about me/my child/ward, including name, address, email, telephone number, cell phone number, sex, age, date of birth and any other additional information required by Pickering Athletic Centre Inc. and authorize Pickering Athletic Centre Inc. to
disclose this information to Gymnastics Ontario and Gymnastics Canada for the following purposes:
a) Receiving communications/direct mailings from Pickering Athletic Centre, Gymnastics Ontario/Gymnastics Canada about programs, events, activities,
services.
b) Receiving information from Pickering Athletic Centre, Gymnastics Ontario or Gymnastics Canada's official sponsors, partners and suppliers.
c) For annual demographic reporting.
d) For club, provincial and national registration databases.
e) For posting of competition information and results.
f) In case of medical emergencies.

I've read the above and agree.
 
Permission to Release
I consent to Pickering Athletic Centre/Gymnastics Ontario/Gymnastics Canada to take photographs, videotape or digital recording of me/my child/ward and to use these in any and all print and social media, including Pickering Athletic Centre or Gymnastics Ontario/Gymnastics Canada websites.
I've read the above and agree.
 
eNewsletter Consent
As an active member of Pickering Athletic Centre, I agree to receive the Club's eNewsletter containing Club programs and schedules, registration information and news bulletins. In compliance with CASL you may unsubscribe at any time from our eNewsletter.
I've read the above and agree.
 
Acknowledgement
The Parties acknowledge that they have read this agreement and understand it, that they have executed this agreement voluntarily, and that this Agreement is to be binding upon themselves, their heirs, executors, administrators and representatives.
I've read the above and agree.
 
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