Registration
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Waiver for all gymnastics parties & events.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Type
*
Caregiver
Father
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:
*
Emergency Contact Info (Not Contact #1 or #2)
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)
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:
*
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:
*
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:
*
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:
*
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
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I acknowledge and understand the potential risk of injury and dangers inherent in the sport of gymnastics, tumbling, and other athletic activities sponsored by Newtown Gymnastics Academy, and I acknowledge the assumption of those risks. I allow Newtown Gymnastics Academy to use pictures and video of my child in social media posts. Names will not be posted.
I've read the above and agree.
Assumption of Risk
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For and in consideration of gymnast's/tumblers/party attendee registration with Newtown Gymnastics Academy, I as an athlete or as an athlete's parent and/or legal guardian hereby release forever discharge covenant not to sue and agree to indemnify and hold harmless Newtown Gymnastics Academy, its owners and employees, from any and all liabilities, claims, demands or causes of action that I may hereinafter have for injuries, possible virus transmission or damages arising out of participation in activities at Newtown Gymnastics Academy, including anyone you ask to help a gymnast with the "Parent" and Me class or party, or events which it may sponsor or be affiliated with or activities incidental thereto. This release includes but is not limited to injuries, damages or losses caused by the passive or active negligence of the released parties or hidden, latent or obvious defects with the equipment sold or used.
I've read the above and agree.
Refund/Credit Policy
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We do NOT offer trial classes, but we DO offer a FULL REFUND to all NEW students if they wish to withdraw within 24 hours after their second class, except the summer semester where it is one class. There are no refunds/credits for classes missed if the gymnast has to quarantine for any reason – make-ups are your only option. If the gym is forced to close and make-ups and/or make-up days cannot suffice, a credit will be issued to your gymnastics account. For current/former gymnasts a cancelation more than 5 days before a semester will be refunded , after that only credited. Birthday party deposits will only be refunded 3 or more weeks before the party or if the slot can be replaced. No credits will be given for canceled Party's. Cancelation of a Private lesson 5 or more days before can be refunded or if slot is replaced. no credits will be given for a canceled Private Lesson. Credits cannot be exchanged for refunds or transferred outside the immediate family.
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
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