Registration
5 openings left in this event!
Already a customer? Click here to login.
No Gymnastics Experience Required
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Type
*
Caregiver
Father
Guardian
Mother
Parent
Self
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:
*
Students entered below will be added to your family's account
Add New Student #1:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Additional Information:
Assumption of Risks
(Show-Hide Details)
I recognize that severe bodily injuries, including permanent paralysis or death can occur in sports or activities involving height or motion, those activities include but are not limited to gymnastics, ninja warrior, tumbling, trampoline, cheerleading, inflatables, private lessons, and special event such as birthday parties, camps, mom's morning out, competitions, and open gyms. Being fully aware of these dangers, I give consent for myself and my child(ren) to participate in any and all Bounce Back Gymnastics activities and I ACCEPT ALL RISKS associated with such participation. In consideration of Bounce Back Gymnastics allowing me or the child(red) to participate in these aforementioned activities, I, on behalf of myself and the child(ren), assume all risks associated with these activities, including all risks of illness, injury, or damage to person or property. I also understand and accept the responsibility of supervising and restricting any activity that I deem necessary to protect the safety of the child(ren) and myself.
I've read the above and agree.
Release of Medical Treatment
(Show-Hide Details)
I understand that it is my responsibility to ensure that my child(ren) and I are physically, mentally, and emotionally fit to participate safely and fully in the activities mentioned above. I agree to disclose any and all medical conditions that could conflict with my or my child(ren)'s safety. I understand that Bounce Back Gymnastics managers, teachers, coaches, contractors and volunteers are not medical practitioners. I agree to allow Bounce Back Gymnastics staff to administer temporary first aid to myself or my child(ren) in the event of injury and promise to seek additional medical assistance as recommended by Bounce Back Gymnastics staff. I authorize emergency assistance and transportation to a medical facility should the need arise.
I've read the above and agree.
Release of Liability
(Show-Hide Details)
I understand that it is the intent of Bounce Back Gymnastics to provide for the safety and protection of my child while participating in all activities under Bounce Back Gymnastics. In consideration for my or my child(ren)’s participation I, on behalf of myself and my child(ren) and our respective heirs and successors, PROMISE NOT TO SUE and FOREVER RELEASE Bounce Back Gymnastics, their respective managers, teachers, coaches, contractors and volunteers from all liability resulting from illness, injuries or damages claimed as a result of participation in any and all activities of Bounce Back Gymnastics including those alleged as resulting from negligence or gross negligence.
I've read the above and agree.
General Policies
(Show-Hide Details)
Children ages 4 years old and up may be dropped off but a parent or authorized guardian must be present for the release of your child at the end of class. We do not allow children to leave the building without the presence of a guardian.
Flash Photography is strictly prohibited, as the use of flash can interfere with an athlete or coach's ability to maintain safety. Taking pictures of your child without the use of flash is permitted but we ask that you not take pictures of any children that are not your own as it violates Safe Sport guidelines.
For safety reasons, students are not allowed on the floor or equipment before or after class. When class is over, the students must leave the training area. Parents may observe their child in class but MUST stay in the viewing area. Siblings and friends are not allowed on the gym floor without participating in an organized activity under coaching supervision. Bounce Back Gymnastics accepts no responsibility or liability for accidents or injuries for anyone not enrolled in classes at the Gym.
No food or drinks are allowed on or near the floor. No shoes and/or gum is permitted on the gym's floor.
Proper Attire is required for participation in activities at Bounce Back Gymnastics. We ask that all students dress modestly and appropriately. Girls should wear a one piece leotard or leotard and biker shorts or form fitting clothes that will not catch on the equipment. Boys should wear a T-shirt and shorts or athletic pants. No baggy clothing or jeans permitted and no socks are permitted as they may slip on some of the gym surfaces. Grippy socks or gymnastics shoes may be worn if desired. No jewelry with the exception of post earrings. Hair must be pulled tightly away from the face.
I've read the above and agree.
Special Event Payment Policy
(Show-Hide Details)
Because of high demand, an initial deposit of $50 is due upon registration for all Camps. This is a non-refundable deposit. The remaining Balance will be due on the first day of camp and there will be no refunds given for no-shows or cancelations. We plan our events around the number of children we have enrolled!
I've read the above and agree.
Photo/Video Waiver
(Show-Hide Details)
I am aware that individual and group photos or videos are taken from time to time and by allowing my child to participate in activities with Bounce Back Gymnastics I am giving permission for said videos or photos to be used for marketing and advertisement as determined appropriate by Bounce Back Gymnastics.
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:
*
2024
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
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...