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A consolidated clinic to improve cartwheel technique and overall body awareness in basic tumbling skills. Clinic Location: Tallmadge

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Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:*	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

Students entered below will be added to your family's account

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	School:	Grade Level:
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Primary Doctor:
	Trial Class? (No/Yes):*
	Photo Release? (No/Yes):*

Add New Student #2:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)

	Student Email:
	School:	Grade Level:
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Primary Doctor:
	Trial Class? (No/Yes):*
	Photo Release? (No/Yes):*

Add New Student #3:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)

	Student Email:
	School:	Grade Level:
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Primary Doctor:
	Trial Class? (No/Yes):*
	Photo Release? (No/Yes):*

Add New Student #4:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)

	Student Email:
	School:	Grade Level:
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Primary Doctor:
	Trial Class? (No/Yes):*
	Photo Release? (No/Yes):*

Add New Student #5:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)

	Student Email:
	School:	Grade Level:
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Primary Doctor:
	Trial Class? (No/Yes):*
	Photo Release? (No/Yes):*

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How did you hear about us?*

Additional Information:

Privacy Policy

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Your personal information will not be shared with any third parties.

I've read the above and agree.

Waiver of Liability

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I HEREBY RELEASE, DISCHARGE, INDEMNIFY AND HOLD HARMLESS WE FROM ANY AND ALL LIABILITY FOR LOSS OR INJURY, including death, or damages to persons or property sustained by me or my child(ren) while on or about the WE facilities or in connection with any activity or program of WE including but not limited to any injury or loss occurring as a result of the negligence of WE, its employees, agents, contractors, volunteers, officers, directors, shareholders, and affiliated entities (the "WE Parties"), a claim for loss of consortium, wrongful death, negligent infliction of emotional distress or any other claim. I, individually and as agent for and on behalf of my child(ren), my spouse/partner, or my child(ren)'s guardian or guardians, or anyone having temporary supervision or custody over my child(ren), including but not limited to, my or my child(ren)'s relatives by affinity or blood, or persons employed to supervise my child(ren), including but not limited to, a babysitter or nanny (the "Customer Parties"), release, discharge and hold harmless WE from any liability for any claim the Customer Parties may have for loss of consortium, wrongful death, negligence, negligent infliction of emotional distress, damage to person or property or any other claim, including but not limited to anything that may arise out of any injury, mishap, or event on or about the WE facilities or occurring in connection with any activity or program of the WE Parties.

I've read the above and agree.

Agent Authorization and Indemnification

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I have authority to act on behalf of the Customer Parties, and all such persons have read and understood this waiver, have agreed to its terms, and agree to release the WE Parties from any liability for any claim for loss of consortium, wrongful death, negligence, negligent infliction of emotional distress, damage to property or any other claim of any kind, including but not limited to anything that may arise out of any injury, mishap, or event on or about the WE facilities or occurring in connection with any activity or program of the WE Parties. I AGREE TO INDEMNIFY WE AGAINST ANY CLAIM brought by the Customer Parties, for loss of consortium, wrongful death, negligence, negligent infliction of emotional distress, damage to property or any other claim of any kind, that may arise out of any injury, mishap, or event on or about the WE facilities or occurring in connection with any activity or program of the WE Parties. I shall not permit any person who has not read, understood and agreed to the terms of this waiver to supervise my child(ren) on or about, or transport my child(ren) to or from, the WE facilities or any activity or program of the WE Parties.

I've read the above and agree.

Consideration

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I recognize that this agreement allows WE to offer affordable recreation and to continue to do so without the risks and overwhelming costs of litigation. This is part of the valuable consideration for which the Customer Parties gladly grant this waiver and indemnification and agree to shoulder the risk of injury of loss.

I've read the above and agree.

Medical Emergency

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The Customer Parties give permission for the WE Parties to seek and give emergency medical attention to the Customer Parties to whatever extent the We Parties see fit. The Customer Parties will be responsible for any and all costs of medical attention and treatment.

I've read the above and agree.

Infectious Disease

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I acknowledge, understand, appreciate and agree that my participation may result in possible exposure to and illness from infectious diseases, including, but not limited to, MRSA, Influenza, and COVID-19. While particular rules and personal discipline may reduce the risk, the risk of serious illness and death does exist. 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 exposure.

I've read the above and agree.

Financial Responsibility & Payment Information

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Payment Policies for Events All events held at our facility will be required to be prepaid. Event fee will be automatically deducted from the card on file upon registration. Payment Policies for Classes & Competitive Teams: Tuition is billed on the 1st of each month and is based on flat monthly rates. Your statement will be emailed to you on the 1st of each month. Tuition will be automatically deducted from the card on file on the 6th of every month. All customers are required to have a credit card or debit card on file with WE for automatic, recurring monthly payments. I understand that the credit card listed on this registration form will be charged at the time of registration. If you choose to pay by cash/check, it must be received and posted by our business office by the 5th of the month. There is a $30 charge for any checks returned by the bank. If accounts are paid after the 6th of the month, there will be a $10 late fee applied to the account balance. Upon enrollment, your credit card will be added to our convenient automatic payment program. Your card will be charged on the 6th of each month. All customers will be automatically enrolled into the next monthly session and charged the monthly fee unless you:
1. Complete the Class Drop Form located in the Parent Tool Box on WEK website. No verbal requests will be accepted. 2. Notification must be received by last day of month to avoid next billing cycle. (i.e. You wish to drop your child from the class for May, you must notify by April 30th.)
I understand that I am financially responsible for payment of all fees at WE for the above athlete including but not limited to tuition, competition fees, registration, uniforms, shoes, choreography, music, classes, private lessons, events, etc.

I've read the above and agree.

Non-refundable Annual Membership Fee

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All WE classes/programs pay an ANNUAL Membership fee of $45 per family to hold the class spot. This fee is not charged when you register for an event. It is only when you do monthly classes at World Elite Cheer/ World Elite / World Elite Kids (WE). Please be aware this fee is 100% non-refundable should you decide to withdraw from World Elite Cheer/ World Elite / World Elite Kids (WE) classes/programs at any time within the next 12 months from when this fee is paid. Your membership fee will be billed each year on the month of original enrollment.

I've read the above and agree.

Automatic Billing Authorization

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I authorize the We Parties to automatically and without notice charge my designated credit/debit card for fees and tuition on the date of my enrollment, and on a monthly basis thereafter for any and all amounts due and owing to WE, including any fees for services or products, any late fees, any collection costs, and payments that the Customer Parties owe for the submission of invalid payment instruments. I have a right to receive notice if WE increases my monthly tuition drafted from my. If I fail to timely pay amount(s) due and owing, I will be assessed a $10 fee (or other amount as permitted or required by law), and/or my practices may be restricted (including facility access) and this Agreement or any aspect thereof may be suspended, considered delinquent or terminated, without notice and at the option of WE. If I submit an invalid payment instrument, such as a dishonored check, I will be assessed a $30 fee in addition to all amounts due and owing. During any period of suspension or delinquency pending termination of the Agreement for nonpayment, I understand that I remain responsible for payment of tuition and other fees, dues, costs or charges as authorized above. In the event that I am due a refund, I authorize the WE Parties to refund my designated credit/debit card.

I've read the above and agree.

Class Makeup Policy

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Active students who are currently enrolled and miss a class due to illness, emergency, or snow day MAY MAKE UP ONE (1) CLASS within a 30 day period in any class of the same level that has openings.There will be no makeups for months with 5 weeks. Missed makeups cannot be rescheduled.

I've read the above and agree.

Drop Policy

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A student can be dropped from a class at any time during the month. Any tuition will be forfeited if dropping before the last scheduled class of the month.
Drop form MUST be received by the last day of the month to avoid the $12 administrative fee.

I've read the above and agree.

Photographs & Videos

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The Customer Parties grant WE permission to use their name, picture, photograph, video, or any other depiction(s) thereof or likeness in all forms of media and in all manners including composite or other representation, for advertising, trade, or any other lawful purpose, and waive their connection therewith. The Customer Parties also waive any rights to compensation or ownership thereto.

I've read the above and agree.

Signature Text

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I am at least 18 years old, or I am the parent or legal guardian of a person under the age of 18, and wish to enter into this Agreement, with World Elite, Inc. and all its subsidiaries, affiliates, and related entities ("WE"). No person covered by this Agreement may use any WE facility without agreeing to WE's Terms and Conditions and any applicable Team Agreement. Any aspect of this Agreement may be amended and the rights in and to this Agreement may be assigned by WE without notice.

I've read the above and agree.

Enter your Full Name:

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Credit Card Verification:

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Exp Year: *

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