JUSTHIS GYMNASTICS APPLICATION

"A Fun training experience with professional Results"
Date

MonthDayYear
Date
Name of JG Staff you've spoken with
Date you would like to start/renew membership

MonthDayYear
Date
Parents/Guardian #1 Name

First NameLast Name
Child's/Participants Name

First NameLast Name
Grade
Age
School
Height
Church
Weight
Date of last Physical

MonthDayYear
Date
In a few words, please tell us why you would like to join our gymnastics program.
Address
Participants Name (for agreement)

First NameLast Name
Participants Name (agreement to follow regulations)

First NameLast Name
Signature I__________________ (participant) agree to only "do to others what I would have them do to me? " This means treating others (classmates, teammates, coaches, directors, parents, siblings, other teams, judges, crowd participants, etc in the right way (with respect, encouragement, and love If I do not abide by these rules I (participant) understand that I can lose my spot n this program. I will work hard spiritually, athletically, and academically while honoring my parents. blanks field. Please add appropriate blank fields and text.
(Parents Signature) give my child permission to participate in this program and will support them to the best of my ability. I will communicate with directors, supervisors, coaches to the best of my abilities.
Parents Signature (agreement to support my child 100%)
Parents/Guardians cell phone #
Email
example@example.com
Date

MonthDayYear
Date
Take Photo of your Child please (Head shots only)
JUSTHIS GYMNASTICS

Page 2
Child's/Participant Name

First NameLast Name
Nickname
Age
Birthday

MonthDayYear
Date
Child's/Participants Hobbies
Allergies
Other Conditions
Guardian/Parents Name - #1

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Guardian/Parent Name - #2

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Emergency Contact - Name

First NameLast Name
Phone Number

Area CodePhone Number
What are some of your child's athletic goals?
Participant T-Shirt Size
JUSTHIS GYMNASTICS

Page 3
Program Preferred
Please Share things you would like us to know about your child/participant
Would you like your child to participate in the biblical training offered?
Each class is tailored to meet you and your child's athletic goals

Thank you, Head Coach J. Dennis
Signature
Print Name

First NameLast Name
Date

MonthDayYear
Date
JUSTHIS GYMNASTICS

Page 4 - Waiver
Today's date

MonthDayYear
Date
Parents Name (Print)
Participants Name

First NameLast Name
Participant's Signature
Date

MonthDayYear
Date
Participants Name

First NameLast Name
Age
Parent/Guardian Signature
Date

MonthDayYear
Date
Email
example@example.com
Have you read the waiver carefully?

Which class is your child participating in?
Date Class(es) Started

MonthDayYear
Date
Parent / Guardian Name

First NameLast Name
Give permission to my Child___________ to go to
_________________ place where you want your child brought incase of an emergency.
Day of the week your child has class
Name(s) of Directors, coaches, administrators you give permission to transport your child in case of an emergency. (Note: Staff may only transport child with other staff or child available)
Acceptable forms of transportation (Car, Bus, Cab, train)
Phone Number where you can be reached

Area CodePhone Number
Name of Insurance Company blanks Insurance ID # blank
Name of Insured

First NameLast Name
Name of Parent/Guardian

First NameLast Name
My child has had a physical in the last year
Emergency Contact

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Parent/Guardian Signature
Date

MonthDayYear
Date
We/I agree to Monthly automatic debits via PayPal, Zelle, and/or iClasspro by JustHis Gymnastics. I understand the pricing I've received is contingent upon monthly automatic debit. I also give permission for JustHis Gymnastics and its partners to review my credit score
Thank you for completing your application. May Gods glory be revealed in our service.
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