Release of Liability
As the legal parent or guardian, I release and hold harmless River City Gymnastics, Inc., its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of River City Gymnastics, Inc., its owners and operators or in route to or from any of said premises.
Medical Emergency
The undersigned gives permission to River City Gymnastics, Inc., its owners and operators to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I hereby declare any physical/mental problems, restrictions, or condition and/or declare the participant to be in good physical and mental health. I request that our doctor/physician ________________ be called and that my child be transported to ______________________ hospital. Please include physicians' phone number _______________.
Payment Information
Tuition is due by the first of each month. If accounts are paid after the tenth of the month, there will be a $25.00 late fee applied to the account balance. There is a $20.00 returned check charge for any checks returned by the bank. River City Gymnastics, Inc. reserves the right to debit your card/ account monies owed if payment is not received for services rendered by the 20th of the month.
Auto Payment Agreement
I authorize River City Gymnastics, Inc. to initiate debit entries to my checking or credit card account I provided and to debit the same account monthly and to credit it in the event of error. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. This authorization is to remain in full force and effect until River City has received 30 days written notice of its termination in such time and in such manner as to afford River City and the bank/credit institution a reasonable time to act on it.
