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This is for weekly Gymnastics Camp registration for MEMBERS. If you'd like to sign up PER DAY, please put which days in the comments section. The system will not run your card. The receipt you are receiving is only registration confirmation. If there are any discounts to be deducted, we will subtract them before we run your card. You will receive a second receipt once the card has been ran. You will receive a receipt via email when your card has been charged. Members $65/day Non-members $70/day Members $255/wk Non-Members $265/wk
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
Address: *
City: * State: * Zip: *
Students entered below will be added to your family's account
Additional Information:
I, we, the undersigned, parent(s) of ______________ a minor, do hereby authorize any adult instructor of Rising Star Gymnastics as an agent for the above minor to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by and is to be rendered under the general or special supervision of any physician and surgeon licensed under the provisions of the Medical Practice Act, whether such diagnosis or treatment is rendered at the physician’s office or at the hospital. This authorization is given pursuant to Provisions of Section 25.8 of the Civil Code of California. This authorization is to include transportation by a Rising Star Gymnastics staff member and/or its representatives, whether paid or volunteer, to any health care facility or hospital, or the calling of an ambulance for said child should the Rising Star Gymnastics staff deem this is necessary.

I, we, the undersigned, also authorize said physician or hospital to release student to gym officials or Rising Star Gymnastics staff upon completion of treatment. This is given pursuant to Section 1283 of the health and Safety Code of California.

I've read the above and agree.
We, the staff of Rising Star Gymnastics, recognize our obligation to make our students and their parents aware of the risks and hazards associated with the sport of gymnastics, tumbling and dance. Any activity involving height or motion creates the possibility of serious injury, paralysis and even death from landing on the neck, head and other parts of the body. Mats and pits do not eliminate this hazard.
I've read the above and agree.
1. With the above in mind, and being fully aware of the risks and possibility of injury involved, I consent to have my child or children participate in the programs offered by Rising Star Gymnastics including instruction, open workouts, running and conditioning, exhibitions, competitions, or clinics in which he or she may be participating or while traveling to or from any activity sponsored by Rising Star Gymnastics.

2. I/ We recognize that it is the responsibility of each participant to practice safe gymnastics and will instruct my/our child/children accordingly.

3. I/ We fully understand and will direct the minor participant that there are risks and dangers associated with participation in gymnastics events including but not limited to bodily injury, partial and/or total disability and death.

4. These risks may be caused by the negligence of the participant or negligence of others and there may be other risks not known to us at this time.

5. I, my executors or other representatives, waive and release all rights and claims for damages that I or my child may have against Rising Star Gymnastics and/or its representatives whether paid or volunteer.

I/We have read this release and have signed it voluntarily. I understand that once it is signed by me it is legally binding. I acknowledge having read this Agreement in it’s entirety.

I've read the above and agree.
Payment in full is due upon enrollment. NO refunds. In the event
of cancellation credit refunds can be applied to monthly class
tuition or pro-shop items in the following amounts. 75% credit
refund 15 or more days out, 50% credit refund between 8-14
days out, and 25% credit refund 1-7 days out.
Camp sessions may be switched if space permits.

If the credit card does not have sufficient funds at time it is ran for registration, a $5.00 NSF fee will be applied to your account.

While the system enters you into the camp, it will NOT run your card. This is something we have to go in and manually do ourselves. You will receive an emailed receipt of your charges after we have ran your card.

I've read the above and agree.
All campers must be picked within 5 minutes
Of their camp ending unless registered for aftercare.
Campers picked up after 5 minutes will be put in aftercare
and parents are responsible for paying for the time they are there.
Aftercare rates are as follows:
Up to 1 hour : $10

I've read the above and agree.
I understand my child will go to the field behind the gym for lunch and other outdoor activities and will ensure to provide them with sturdy tennis shoes to play in.
I've read the above and agree.
Enter your Full Name: *   
Other Questions/Comments:
Credit Card Verification:
Card Number: *  
Name as it appears on card: *
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*