WVGTC Online Registration

Registration

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Welcome to WVGTC! Please complete the following registration form.

* 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)

Please click on the Search button below, then choose the class.

Enroll in Classes

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Please click on the Search button below, then choose the class.

Enroll in Classes

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Please click on the Search button below, then choose the class.

Enroll in Classes

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Please click on the Search button below, then choose the class.

Enroll in Classes

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Please click on the Search button below, then choose the class.

Enroll in Classes

Add Another Student

Required Policies and Agreements

Medical Emergency

The West Virginia Gymnastics Training Center, employees, staff, or agents of, permission administer or authorize the treatment of said student in the event should any emergency be deemed necessary by The West Virginia Gymnastic Training Center, Furthermore I do not hold The West Virginia Gymnastic Training Center responsible for any such treatment and/or care.

I've read the above and agree.

Payment Policy

We are here to serve you . If you have questions please don't hesitate to contact the Billing Department after 3:30 p.m. at (304) 292-5559. Payments are due by the 1st of the billing month. If your account is not current by by the 5th of the month, the bank account or credit card placed on file will be automatically charged for the outstanding balance on that day. If you do not have a bank account or credit card on file, or if your card or account is declined for automatic payment withdrawal you will receive a $20.00 late fee for any unpaid balance on the 15th of the month. Any account that has an unpaid balance for more than 60 days, will result in a drop of the student(s) and they will be unable to participate in classes until the balance is paid. If a student enrolled in our class program wishes to discontinue classes for any reason 30 DAY WRITTEN NOTICE must be given, otherwise payment will be required for the following month.

I've read the above and agree.

Assumption of Risk

W.V.G.T.C. Release form: We the staff of the West Virginia Gymnastic Training Center, recognize our obligation to make our students and their parents fully aware of the inherent risks and hazards associated with the sport of gymnastics, and that these students may suffer injuries, possible minor, serious, or catastrophic in nature, due to the inherent hazards and risks associated with gymnastics. Given the distinct possibility of injuries associated with the performance of this activity, the West Virginia Gymnastics Training Center insists that all students and their parents agree to abide by all the safety rules and policies of the West Virginia Gymnastic Training Center in regard to this matter. The West Virginia Gymnastic Training Center, it's coaches, and other staff members will not accept responsibility for the injuries sustained by any student during the course of gymnastics instruction for fun gym or in the course of any exhibition competition, or clinic in which he or she may participate, or while traveling to or from an exhibition, competition or clinic.. I hereby consent to have my child, participate in programs offered by the West Virginia Gymnastic Training Center. I have read the above information and am fully aware of the hazards and risks associated with the sport of gymnastics, and the distinct possibility of injuries that my child may suffer as a result of participation in the sport of gymnastics and the distinct possibility of injuries that my child my suffer as a result of participation in the sport.

I've read the above and agree.

Release of Liability

It is hereby agreed that I, my executors, or other representatives, waive and release all rights and claims for damages that I may have individually, or that my executors or other representatives, may have on my behalf or on the behalf of my child, against The West Virginia Gymnastics Training center and/or its representatives weather paid or volunteer, for any injuries or damages my child sustains in connection with the gymnastics program or other activities related to The West Virginia Gymnastic Training Center. I also affirm that I now and will continue to provide proper hospitalization, health and accident insurance coverage which I consider adequate for both my child's protection and my own protection.

I've read the above and agree.

Photos/Videos

Occasionally WVGTC Will Use Photos, Videos, And Likenesses Of Students In Regard to Accomplishments, Awards, Promotions, Information, Etc. To Primarily Be Used In Regard To the WVGTC Website, Facebook Page, Newspaper, Bulletin Boards, Brochures, Programs, Etc. I Give WVGTC Permission To Use These Photos and Such For the Purposes Listed above.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

Please fill out ONE of the following Payment Methods

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

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number