In consideration of participating in the Head Over Heels Gymnastics program, I represent that I understand the
nature of this Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the activity. I fully understand that this Activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the "releases" named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, cost, and damages I incur as a result of my participation in the Activity.
I hereby release, discharge, and covenant not to sue Head Over Heels Gymnastics, its respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "RELEASES" herein) from all liability, claims, demands, losses, or damages, on my account caused or alleged to be caused in whole or in part by the negligence of the "releases" or otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releases, I will indemnify, save, and hold harmless each of the Releases from any loss, liability, damage, or cost, which any may incur as the result of such claim.
I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.
I hereby grant Head Over Heels Gymnastics permission to use my child's likeness in a photograph in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that these materials will become property of Head Over Heels Gymnastics and will not be returned.
I hereby irrevocably authorize Head Over Heels to edit, alter, copy, exhibit, publish, or distribute this photo for purposes of publicizing the Head Over Heels programs or for any other lawful purpose.
In addition, I waive the right to inspect or approve the finished product, including written or electric copy, wherein my or my child's likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph.
I hereby hold harmless and release and forever discharge Head Over Heels for all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estae have or may have by reason of this authorization.
I am 18 years of age and am competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release.
In the case of medical emergency, I understand my child will be transported to an appropriate medical facility by the local emergency unit
for treatment if the local emergency resource (police, rescue squad, etc.) deems it necessary. My child will be transported at my expense.
It is understood that in some medical situations, the staff will need to contact the local emergency resources before the parent, child's
physician, and/or other adult acting on the parent's behalf. Because of the potential risk of sports participation, I understand the
importance of following the coaches' instructions regarding techniques, training, and other rules, and agree to obey instructions.
WARNING! CATASTROPHIC INJURY, PARALYSIS, OR EVEN DEATH CAN RESULT FROM IMPROPER CONDUCT OF
Further, I hereby release and agree to hold harmless and to indemnify Head Over Heels Gymnastics. Board Members, Directors, Employees, or
Volunteers from any claims, losses, or expenses incurred on the behalf of me, my child, or my child's family.
I also understand that it is my responsibility to have medical insurance coverage that I consider adequate for both my child's protection,
and my own protection.
Options for making payments before the 10th of each month:
If payment is made prior to the 5th of the month by one of the options listed below then no fees will be charged to your credit/ debit card on file.
Payments may be made in person with cash.
Payments may be made with a personal check. Please make your check payable to HOH and please note the student's name, class, day and the time on the memo portion of your check. A $25 fee will be assessed on all returned checks.
Payments may be made with VISA, MasterCard, or Discover.
You may pay online through our parent portal.
You may mail payments to: Head Over Heels Gymnastics 90 Lee Jackson Hwy. Suite 1214, Staunton, VA 42201
Remember, any remaining balances at the end of the day on the 5th of the month will be charged to your credit/ debit card on file. This is done automatically so you will not have to worry about losing your child's /(ren's) spot in class.
If there are changes to your credit/debit card the new information must be received by the 5th of the month. If your payment doesn't go through for any reason you will be charged a $10.00 decline fee. If delinquent tuition is not paid before the first of the month, your child(ren) will be tagged inactive by the computer, will be un-enrolled, and children on the waiting list will be called. Once we have received a bad check, all future tuition must be paid with cash or credit/debit card.