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Located in Stacey's Gymnastics Too! 710 Luetkenhaus blvd. A coach supervised 'open gym' style time for little ones and their parent or (other adult caregiver age 18 or older). Main objectives will be explained by the coach, then parents/caregivers will assist their child through the fun gymnastics obstacle course. Boys and Girls are both welcome!
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Family Information |
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Students entered below will be added to your family's account
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| I understand that a parent (or other caregiver age 18 or older) will need to participate with my child at this event.* | |
| I understand that my child will need to be barefoot and have on comfortable clothing with no buttons or zippers (preferably a leotard for girls), or shorts and short sleeves.* | |
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Additional Information: |
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Legal Guardian
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I certify that I am the parent or legal guardian for this student(s).
I've read the above and agree.
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Assumption of Risk
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I fully understand that Stacey's Gymnastics staff members are not physicians or medical practitioners of any kind. With the above in mind, I hereby release Stacey's Gymnastics staff to render temporary first aid to my child, children or self in the event of any injury or illness, and if deemed necessary by Stacey's Gymnastics staff to call our doctor and to seek medical help, including transportation by a Stacey's 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 participant should Stacey's Gymnastics staff deem this to be necessary.
I've read the above and agree.
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Release of Liability
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We, the staff of Stacey's Gymnastics recognize our obligation to make our participants and their parents aware of the risks and hazards associated with the sport of gymnastics, tumbling, cheerleading, dance and exercises. Participants may suffer injuries; minor, serious, or catastrophic in nature or even death in rare cases. Gymnastics, tumbling, cheerleading, dance and aerobics can be dangerous and can lead to injury! Parents should make their children/self aware of the possibility of injury and encourage their children/self to follow all the safety rules and the coaches' instructions. Stacey's Gymnastics, its coaches and other staff members, will not accept responsibility for injuries sustained by any participant during the course of gymnastics, tumbling, cheerleading, dance, aerobics instruction, open workouts, or in the course of any exhibition, competition, or clinic in which he or she may participate or while traveling to or from the event. With the above in mind, and being fully aware of the risks and possibility of injury involved, I consent to have my child, children or self participate in the programs offered by Stacey's Gymnastics. I, my executors or other representatives wave and release all rights and claims for damages that I or my child, children or self may have against Stacey's Gymnastics and or its representatives whether paid or volunteer. I also understand that it is the parent's responsibility to warn the child about the dangers of gymnastics and injury. The parent should warn the child according to what the parent feels is appropriate. Stacey's Gymnastics will only warn the child through "Safety Messages" and our teaching style and progressions.
I've read the above and agree.
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Rules & Regulations
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Uniforms/Dress code: Girls are preferred to wear a one piece leotard or unitard (no skirts). Boys and girls may wear elastic waist shorts and a fitted T-shirt or tank tucked in. No jeans, pants, belts, zippers, or grommets. No Jewelry is allowed. Hair must be pulled up away from face.
Make-ups: No credits or refunds will be given for classes missed.
Valuables: Valuable items should not be brought to the gym. Stacey's Gymnastics will not be responsible for lost or stolen items. Items left in your vehicle should be kept out of sight. Please lock your vehicle.
Holidays: Please pick up a gym calendar at the gym. Stacey's Gymnastics will not always follow local school holiday breaks.
Visitors: Visitors must sit quietly in the designated areas. NEVER leave children unattended in waiting area. Keep siblings quietly entertained during classes. No running, tumbling or rough housing allowed in waiting area. Please do not distract the children participating in the classes. Any interruptions could result in serious injury. Only children enrolled in classes will be allowed in the gym area.
Snow Days: Stacey's Gymnastics does not always follow local school districts closing schedule due to inclement weather. Please call the gym 1 hour before your scheduled class time for a recorded message at (636) 327-JUMP. If you hear our regular message, we are open. Snow closings will also be announced on our Facebook page and by email. Classes closed due to weather are allowed to be made up.
Membership: Stacey's Gymnastics reserves the right to cancel a student's membership at any time.
I've read the above and agree.
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Payment Policies
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Credit/debit cards are stored in accordance with security laws. Declined credit/debit card fee is $15. Returned check fee is $30. Your tuition is based on enrollment and not a reflection of attendance.
I've read the above and agree.
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COVID-19 Assumption of Risk
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I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Stacey's Gymnastics and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Stacey's Gymnastics may result from the actions omissions, or negligence of myself and others, including but not limited to, Stacey's Gymnastics employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to personal injury, disability, and death), illness, damage, loss, claim, liability, or expense of any kind, that I, my child(ren), or anyone living in my home, may experience or incur in connection with my child(ren)'s attendance at Stacey's Gymnastics. I hereby release, covenant not to sue, discharge, and hold harmless Stacey's Gymnastics, it's employees, agents, and representatives, of and from the Claims, including liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Stacey's Gymnastics, it's employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Stacey's Gymnastics program.
I've read the above and agree.
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Marketing Release
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Occasionally Stacey's Gymnastics uses photos or video of its students in print ads, on its website, or other marketing mediums. I understand that my child's likeness may be used in such advertising. These images will be used for Stacey's Gymnastics purposes only and will not be given or sold to outside companies or individuals.
I've read the above and agree.
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Credit Card Verification: |
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Name as it appears on card: * |
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Exp Year: *
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