Southern Washington Academy of Gymnastics SWAG Online Registration

Registration

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SWAG Registration

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name*

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Home Phone *

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Class Options

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Class Options

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Class Options

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Class Options

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Class Options

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Assumption of Risk

In consideration of participating in gymnastics and/or other activities, I represent that I understand the nature of this activity and that I or any minors I enroll are 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've read the above and agree.

Release of Liability

As the legal parent or guardian, I release and hold harmless SWAG, 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 SWAG, its owners and operators or in route to or from any of said premises.

I've read the above and agree.

Payment Policies

Automated payments using a credit card is the required method of payment. Input of Credit Card Information signifies acceptance of the SWAG autopay program. Input of Credit Card Information also signifies acceptance of our drop policy. Drop Policy: Notice must be in writing/or email to the SWAG office on or before the 15th of the month prior to the upcoming session to drop a class and to discontinue billing and autopay. Autopay is run every four weeks, Annual Registration Fees apply. $30 per student. Annual registration fees will run with autopay each year on the anniversary of enrollment.

I've read the above and agree.

Medical Emergencies

I, the parent or legal guardian of the below indicated minor(s), fully understand that SWAG staff are not physicians or medical practitioners of any kind. With the foregoing in mind and in the event that any kind of injury or illness should occur to my child while on SWAG premises, I hereby authorize SWAG to render first aid as deemed necessary in their discretion and/or to seek medical assistance, including calling 911 or otherwise arranging for the transport of my child to an appropriate facility for treatment. Additionally, I hereby authorize any trained and licensed medical professional to administer emergency medical treatment to my child should injury or illness occur in my absence. I understand that SWAG will make every effort to promptly notify me of any such emergency.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*