Student Name *

First Name

Last Name

New Class *

Monday 4:00 (ages 4-8) One Hour

Monday 5:00 (ages 9+) Two Hour

Tuesday 3:15 (ages 3-6) Little Kid Gymnastics

Tuesday 4:00 (ages 4-8) One Hour

Tuesday 5:00 (ages 9+) Two Hour

Wednesday 4:00 (ages 4-8) One Hour

Wednesday 5:00 (ages 9+) Two Hour

Thursday 3:15 (ages 3-6) Little Kid Gymnastics

Thursday 4:00 (ages 4-8) One Hour

Thursday 5:00 (ages 9+) Two Hour

Friday 4:00 (ages 4-8) One Hour

Friday 5:00 (ages 9+) Two Hour

Sunday 9:00 (ages 4-8) One Hour

Sunday 10:00 (ages 9+) Two Hour

Parent Name *

First Name

Last Name

Tuition is withdrawn monthly on the 25th of the month from the credit card on file. All tuition is non-refundable, non-transferable, credit will not be given. Students who change their class after the 25th may owe tuition, depending on the new class choice. *

Agree

Class changes are permitted but are subject to class enrollment. *

Agree

Waiver & Release *

Release of Liability: The Renaissance Gymnastics Academy, Inc., its coaches, other staff members, and the corporate officers both paid and volunteer will not accept responsibility for injury sustained by any student during the course of gymnastics and dance instruction, or open work out, or in the course of any exhibition, competition or clinic in which he or she may participate or while traveling to of from the event. With the above in mind, and being fully aware of the risks involved, I consent to have my child(ren) participate in the programs offered by Renaissance Gymnastics Academy, Inc. I, my executors, or other representatives, waive and release all rights and claims for damages that I or my child(ren) have against Renaissance Gymnastics Academy, Inc. and/or its representatives, paid or volunteer. I also affirm that I now have and will continue to provide proper hospitalizations, health and accident insurance coverage which I consider adequate for my child's and my own protection, I also understand that it is the parents’ responsibility to warn the child of the dangers of gymnastics and dance and injury. The parent should warn the child according to what the parent feels appropriate. Renaissance Gymnastics Academy, Inc. will only warn the child through “safety messages” and our teaching styles and progressions. Assumption of Risk: We the staff of Renaissance Gymnastics Academy, Inc recognize our obligation to make our students and their parents aware of the risks and hazards associated with the sport of gymnastics and dance. Students may suffer injuries, possibly minor, serious, or catastrophic in nature. Gymnastics and Dance can be dangerous and can lead to injury. Parents should make their children aware of the possibility of injury and encourage their children to follow ALL the safety rules and coaches' instruction. Medical Emergency: I fully understand that the Renaissance Gymnastics Academy, Inc. staff members are not physicians or medical practitioners of any kind. With that in mind I hereby release the Renaissance Gymnastics Academy, Inc. staff to render temporary first aid to my child or children in the event of injury or illness, and if deemed necessary by the Renaissance Gymnastics Academy, Inc. staff, to call their doctor and seek medical help, and if deemed necessary for the calling of ambulance for said child(ren).

Agree