GymKix Enrichment Academy

  • GymKix Enrichment Academy

    Registration for Playful Pathways, After School Program, and Camps
  • Are you current GymKix Members?*

  • Awesome—we’re excited to get you started!
    Just so there are no surprises, we do have a $45 annual membership fee. It covers all programs and all kids in your family for a full year, and renews at $25.

  • Format: (000) 000-0000.
  • Do you have custoday documents that we will need copies of?*
  • Would you like to add another Parent/Guardian?*
  • Format: (000) 000-0000.

  • Child's Information

  • Child's Gender*
  • Child's Birthday*
     - -
  • Which program are you registering this child for (check all that apply)*
  • If registering for Playful Pathways Preschool, please select the schedule your child will attend
  • On File With The School Above (Check all that apply)*
  • Is the address the same as the Primary Parent/Guardian?*
  • Student Resides With:*

  • Water Activities

    Please confirm whether your child is able to swim or cannot swim. If your child cannot swim, please understand that you must provide a properly fitted and fastened Type I, II, or III U.S. Coast Guard-approved personal flotation device, and they must wear it at all times while at the pool. Safety is our top priority, and we appreciate your cooperation in ensuring a secure and enjoyable experience for everyone.
  • Which best describes your child's swimming ability:*
  • The undersigned gives permission for their child to participate in the following activities (select each approved activity):*

  • Partnering to Support Your Child’s Growth and Comfort

    The activities offered at GymKix are fast paced, loud, engaging, and energetic. We realize this type of environment is not a good fit for every student. We want families to be prepared and ensure that their child is emotionally, physically, and mentally ready for our structured environment.Additionally, due to the nature of our environment, safety is of utmost importance. We have a ZERO TOLERANCE policy for unsafe behaviors at our facility. This is non-negotiable as we must maintain a safe, productive environment for our staff and the students in our care.With that in mind, we want every child to have a chance to experience our program and in order to best help your child please answer the following questions (this is optional).
  • Has your child ever been diagnosed or suspected of having any of the following (check all that apply)
  • Do you have additional children to add to this registration?*

  • 2nd Child's Information

  • 2nd Child's Gender
  • 2nd Child's Birthday
     - -
  • Which program are you registering this child for (check all that apply)
  • If registering for Playful Pathways Preschool, please select the schedule your child will attend
  • On File With The School Above (Check all that apply)
  • 2nd Child Resides With:

  • Water Activities

    Please confirm whether your child is able to swim or cannot swim. If your child cannot swim, please understand that you must provide a properly fitted and fastened Type I, II, or III U.S. Coast Guard-approved personal flotation device, and they must wear it at all times while at the pool. Safety is our top priority, and we appreciate your cooperation in ensuring a secure and enjoyable experience for everyone.
  • Which best describes your child's swimming ability:
  • The undersigned gives permission for their child to participate in the following activities (select each approved activity):

  • Partnering to Support Your Child’s Growth and Comfort

    The activities offered at GymKix are fast paced, loud, engaging, and energetic. We realize this type of environment is not a good fit for every student. We want families to be prepared and ensure that their child is emotionally, physically, and mentally ready for our structured environment.Additionally, due to the nature of our environment, safety is of utmost importance. We have a ZERO TOLERANCE policy for unsafe behaviors at our facility. This is non-negotiable as we must maintain a safe, productive environment for our staff and the students in our care.With that in mind, we want every child to have a chance to experience our program and in order to best help your child please answer the following questions (this is optional).
  • Has your child ever been diagnosed or suspected of having any of the following (check all that apply)
  • Do you have 3rd child to add to this registration?

  • 3rd Child's Information

  • 3rd Child's Gender
  • 3rd Child's Birthday
     - -
  • Which program are you registering this child for (check all that apply)
  • If registering for Playful Pathways Preschool, please select the schedule your child will attend
  • On File With The School Above (Check all that apply)
  • 3rd Child Resides With:

  • Water Activities

    Please confirm whether your child is able to swim or cannot swim. If your child cannot swim, please understand that you must provide a properly fitted and fastened Type I, II, or III U.S. Coast Guard-approved personal flotation device, and they must wear it at all times while at the pool. Safety is our top priority, and we appreciate your cooperation in ensuring a secure and enjoyable experience for everyone.
  • Which best describes your child's swimming ability:
  • The undersigned gives permission for their child to participate in the following activities (select each approved activity):

  • Partnering to Support Your Child’s Growth and Comfort

    The activities offered at GymKix are fast paced, loud, engaging, and energetic. We realize this type of environment is not a good fit for every student. We want families to be prepared and ensure that their child is emotionally, physically, and mentally ready for our structured environment.Additionally, due to the nature of our environment, safety is of utmost importance. We have a ZERO TOLERANCE policy for unsafe behaviors at our facility. This is non-negotiable as we must maintain a safe, productive environment for our staff and the students in our care.With that in mind, we want every child to have a chance to experience our program and in order to best help your child please answer the following questions (this is optional).
  • Has your child ever been diagnosed or suspected of having any of the following (check all that apply)

  • EMERGENCY & AUTHORIZED ADULTS (NOT A PARENT/GUARDIAN)

    Please provide at least ONE Emergency Contact and ONE authorized Pick-up, other than Mom and Dad. Please indicate if the person listed is an Emergency Contact, authorize Pick-up or both. Emergency Contact: a person to contact in case of an emergency if parents / guardian cannot be reached. Authorized Pick-up: an authorized person to pick up, besides the parent / guardian. Children will only be released after verification of ID.
  • Format: (000) 000-0000.
  • This person is (check all that apply)*
  • Format: (000) 000-0000.
  • This person is (check all that apply)*

  • AUTHORIZATION FOR EMERGENCY MEDICAL ATTENTION

    In the event I cannot be reached to make arrangements for emergency medical care, I give consent for the facility to secure any and all necessary emergency medical care for my child(ren).
  • I authorize the person in charge to take my child to ONE of the following (please check one below):*

  • SPECIAL CARE INFORMATION

    List any special care information that your child may have, such as allergies, any prescribed medication, and any other information which caregivers should be aware of (to include but not limited to: hospitalization in the last 12 months, injuries, previous serious illnesses, medications, and allergies). For Food Allergies, a Food Allergy Emergency Plan will need to be completed and signed by you and a healthcare professional. For prescribed medication, a Medical Authorization form will need to be completed.

  • Trophy's Health Bar Agreement

    We offer a variety of healthy snack options for our students. These purchases can be added to your weekly charges for your convenience.
  • Do you want to allow your child to charge snack bar items to your account (charged weekly):*
  • Do you have any limits you would like to put on their purchases?

  • Statement of Understanding & Assumption of Risk

    In consideration of allowing the previously-declared participant(s) to begin participation in GymKix activities, while on the premises and property of said Center, theundersigned, for themselves, and/or being the legal and acting guardian of participant, acting for themselves and on behalf of the participant, release and hold harmless GymKix, L.L.C., its owners, employees, and agents of and 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 upon which GymKix is conducted, or any premises under the control and supervision of GymKix, L.L.C., its owners, employees, or agents or in route to or from any of said premises, or while at any premises or place when activities sponsored by or participated in by GymKix, L.L.C., its owners, agents, or employees. GymKix is not responsible for children contracting illnesses to include COVID19 or any variant.. Assumption of Risk - Participation in physical activities can involve motion, rotation, and height in a unique environment and as such carries with it a certain assumption of risk. The undersigned and the participant(s) choose to voluntarily enter upon said premises under the control of said corporation, knowing their present condition and knowing that said condition may become more hazardous and dangerous during the time the participant or the undersigned is upon said premises. The undersigned and the participant(s) voluntarily assume any and all risks of loss, damage, or injury that may be sustained by the participant(s) and/or the undersigned or any property owner by them while on or upon said premises described above. The corporation may but shall not be obliged to carry insurance on the participant(s), and the existence of insurance shall not change, alter, or increase theliability of the corporation to the participant and the undersigned or affect the terms of this Release. In signing this Release, the undersigned acknowledges:a) That he/she has read thoroughly and understands completely, the terms of Registration and Release and signs it voluntarily.b) That the undersigned signing either for themselves, or as Legal Guardian is, in fact, the true and legal guardian and has the consent of theparticipant.

  • Medical Release

    The undersigned gives permission for the GymKix, L.L.C. owners, officers, employees, and/or agents to seek emergency medical treatment for the participant(s) in the event they are unable to reach any parent or guardian. The undersigned also agrees that they themselves will be responsible for any financial debt incurred by said action.

  • Transportation & Field Trip Release

    I give permission for my child to be transported either by GymKix transportation or by other commercial or public transportation for field trips or school pick up and drop-off at GymKix.

  • Marketing Release

    I understand that my child’s likeness may be used in GymKix ads, promotional videos, website material, or various other marketing. These images will be used forGymKix purposes only, and will not be given or sold to outside companies or individuals.

  • WAIVER & RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19 ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT

    In consideration of being allowed to participate on behalf of GymKix and related events and activities, the undersigned acknowledges, appreciates, and agrees that:1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my participation; and,3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest staff member immediately; and,4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS GymKix, their officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

  • MEDICATION CONSENT

    I give GymKix permission to administer over-the-counter or external preparations as needed according to the directions for use on the container. Note: If the directions for use are not specific on the container, (such as Tylenol for a child under the age of 2), a physician's note with the appropriate dosage is required.* Denotes items that must be supplied by parents. Must be in the original container clearly labeled with the child's name.
  • Check All That Apply*

  • GymKix Enrichment Policy Reminders

    Please read and initial all statements regardless of your current enrollment so that you are familiar with these important reminders should your child change/add programs.

  • ALL PROGRAMS: PLEASE INITIAL THAT YOU UNDERSTAND THE FOLLOWING:

    • There is a $10 late fee for every 15 minutes that you are late for scheduled pick up.
    • Initials:   *   


    • If your child does not have the required attire for their scheduled GymKix class or free play, they will not be able to participate for that day.
    • Initials:   *   


    • If your child is removed for behavior/safety violations or illness, you will be charged the daily rate for days attended and the remaining amount will be credited to your account (if applicable).
    • Initials:   *   


    • I understand all items need to be labeled with my child's name
    • Initials:      

  • AFTER SCHOOL: PLEASE INITIAL THAT YOU UNDERSTAND THE FOLLOWING:

    • If your child’s schedule changes and you DO NOT need GymKix to pick them up (due to illness, absence, tutoring, etc.) you MUST notify GymKix by 1:00 p.m. If you fail to notify GymKix by 2:00 p.m. your account will be billed $7.50.
    • Initials:   *   


    • Payments will be automatically drafted every Friday.
    • Initials:   *   


    • In order to hold a spot ($25 per week), notice must be given no later than the week PRIOR to the time off.
    • Initials:   *   

  • SUMMER/DAY CAMPS: PLEASE INITIAL THAT YOU UNDERSTAND THE FOLLOWING:

    • I understand I must bring (no food delivery): a lunch, water bottle, and at least two snacks each day. If I do not provide lunch for my child, then one will be provided and my card on file will be charged $10.
    • Initials:      


    • I understand I must bring spray/touchless sunscreen for my child if I want it applied
    • Initials:      


    • I understand I must have a change of clothes packed each day
    • Initials:   *   


    • I understand I must have a change of clothes packed each day
    • Initials:   


    • I understand that the $25 deposit is NON-REFUNDABLE (no exceptions).
    • Initials:      

  • Texas Health and Human Services Commission Form 1099 – Operational Discipline and Guidance Policy

    Discipline and guidance must be individualized and consistent for each child. It must be appropriate to the child’s level of understanding and directed toward teaching acceptable behavior and self-control. Acceptable Discipline and Guidance Practices: Encouragement of positive behavior - Clear and positive expectations - Redirection - Brief supervised separation (time-out), limited to 1 minute per year of age.  Prohibited Discipline Practices: Corporal punishment or threats - Punishment related to food, naps, or toilet training - Humiliation, yelling, or harsh language - Isolation in locked or dark areas - Physical restraint not allowed by standards

  • FINAL ADMISSION CONFIRMATION

    I confirm that all of the information provided in this Admission Form is complete and accurate to the best of my knowledge. I agree to update GymKix if any pertinent information changes. I have read and will comply with the GymKix Enrichment Academy Parent Handbook (updated and emailed every year - it is my responsibility to make sure I have read and understood the most up-to-date policies) and understand that I will be held fully responsible for its terms and conditions. I agree to the late charges and administrative fees that are established for the GymKix Enrichment Academy. I understand that these fees will be charged automatically.
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