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Spring/Summer Registration & Waiver
 
2011 Evening Spring Swim & Summer Registration Form
Please also print and sign waiver below.
Download printable (PDF) version.
Mail registration, signed waiver and payment to:
Elite Gymnastics, PO Box 503, Hawthorne, NJ 07506
Fax completed registration form, signed waiver and credit card payment to: 973-423-1316
Please choose the program(s)
you wish to registering for:

Evening Spring Swim M&W Group T&R Group
Miini Day Camp
Gymnastics & Cheer Camp
Gymnastics Pre-school School Age
Elite's Peak Rock Climbing
Combo Gymnastics / Rock Climbing
Summer Swim

Evening Spring Swim Classes
Please choose session
(8-class sessions)
starting the week of:

March 7th (Session 1)
April 4th (Session 2)
May 2nd (Session 3)
May 31st* (Session 4)

Summer Classes
Please choose session
(4-class sessions)
starting the week of:
June28th** (Session 1)
July 5th** (Session 2)
July 11th (Session 3)
July 18th (Session 4)
July 25th (Session 5)
August 1st (Session 6)
August 8th (Session 7)
August 15th (Session 8)
Please Enroll:

Name of Student

Address
City or Town State Zip
Age Date of Birth Sex   M   F

Name of Responsible Party

Home Phone
Cell Phone
Emergency Phone
Class(es), Day(s), and Time(s),
you wish to attend:

Class Name

Day Time
Class Name Day Time
Class Name Day Time

Payment Method:
(All major credit cards accepted)

Check
Credit Card (Circle One)


  MC    Visa    Amex    Discover    Other
Name on Credit Card
Credit Card Number Exp Date
Credit Card Signature
**Closed Mondaym May 30th - Memorial Day, make-up class Monday, June 27th.
**All private lessons are for paid registered class members only.
2011 Waiver & Release Form


We, the staff of Elite Gymnastics recognize our obligation to make our students and their parents aware of the risks and hazards associated with the sport of gymnastics, tumbling, cheer leading, rock climbing, swimming and dance. Students may suffer injuries, possibly minor, serious, or catastrophic in nature. Gymnastics, tumbling, cheer leading, rock climbing, swimming 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 the coaches' instructions. The parent should warn the child according to what the parent feels is appropriate. Elite Gymnastics will only warn the child through "Safety Messages" and our teaching style and progressions.

Elite Gymnastics, its coaches and other staff members, will not accept responsibility for injuries sustained by any student during the course of gymnastics, tumbling, cheerleading, rock climbing, swimming or dance instruction, or open workouts, or in the course of any exhibition, competition, or clinic in which he or she may participate in the programs offered by Elite Gymnastics.

I fully understand that Elite Gymnastics staff members are not physicians or medical practitioners of any kind. With the above in mind, I hereby release the Elite Gymnastics staff to render temporary first aid to my child or children in the event of any injury or illness and, if deemed necessary by the Elite Gymnastics staff, to call our doctor and to seek medical help, including transportation by an Elite Gymnastics staff member and/ or its representatives, whether paid or volunteer, to any health care facility or hospital, or the calling of an ambulance for said child should the Elite Gymnastics staff deem this to be necessary.

I also understand that it is the parents' responsibility to warn the child about the dangers of gymnastics and injury.

I, my executors or other representatives, waive and release all rights and claims for damages that I or my child may have against Elite Gymnastics and/or its representatives whether paid or volunteer.



Parent or Guardian Signature


Date

Spacer Elite Gymnastics is dedicated to providing children of all ages and skill levels, the opportunity to gain new confidence through improved motor skills, socialization, creative expression, and hands-on-experiences.