NLS London Gymnastics

NLS LONDON SUMMER GYMNASTICS

Registration Form
Monday Night Gymnastics (Ages 5-10)
Get ready to roll, jump, and tumble! This 8-week program is all about having fun while building strength, coordination, and confidence. Each session is packed with playful floor skills and age-appropriate exercises – perfect for first-time gymnasts or kids looking to grow their skills in a supportive environment.

Beginner Class - 6:00-6:45 PM

Mixed (Beginner/Advanced) - 7:00-7:45 PM

Dates:
July 6, 13, 20, 27, August 10, 17, 24, 31

Note: No programming on August 3 due to holiday

Saturday Gymnastics (Ages 5-10)

Beginner - 11:30 AM - 12:15 PM

Advanced - 12:30 - 1:15 PM

*in order to register for our advanced class, participants should confidently rock a cartwheel, hold a supported handstand, and demonstrate a solid bridge

Dates:

July 4, 11, 18, 25, August 8, 15, 22, 29

Note: No programming on August 1 due to the long weekend

Parent/Tot Gymnastics (Ages 3-4)
This 8-week Parent & Tot Class invites young children and their parent/guardian to explore movement together in a fun, supportive setting. Through guided play, basic gymnastics skill, and simple movement activities, children will develop body awareness, balance, and confidence.

*A parent/guardian is required to attend and actively participate alongside their child each class, making this a great opportunity to move, learn, and bond together!

Saturdays - 10:30 - 11:15 AM

Dates:
July 4, 11, 18, 25, August 8, 15, 22, 29

Note: No programming on August 1 due to the long weekend

Location: BGC London - 184 Horton St E

Cost: $115

"Cartwheels into confidence, handstands made easy, and jumps full of fun!"

Subsidy is available for those who need it. Before you register, please contact Whitney Brown (wbrown@bgclondon.ca) for more information.

Once the program starts, no refunds will be given. Any refunds must be requested at least 24 hours before the start of the program and may be subject to a $15 administration fee.

Athlete Information
Participant's Name

First NameLast Name
Participant's Date of Birth

MonthDayYear
Date
Participant’s Age
Does the participant have any medical conditions we should be aware of?
Please provide more details.
Are there any medications the participant is taking we should be aware of? (Including inhalers, insulin pumps, etc.)
Please provide more details, including where inhalers, epi-pens, or pumps may be located.
Guardian 1 / Parent 1 Name

First NameLast Name
Guardian 2 / Parent 2 Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone
Format: (000) 000-0000.
Secondary Phone
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Contact Information
Emergency Contact's Name

First NameLast Name
Relationship to Participant
Relationship to Participant
Phone Number
Format: (000) 000-0000.
How did you hear about this program?

- BGC LONDON (BOYS & GIRLS CLUB OF LONDON)
  
  RELEASE OF LIABILITY, WAIVER OF CLAIMS
  
  ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT.
  
  BY SIGNING THIS AGREEMENT YOU WILL WAIVE CERTAIN
  
  LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE
  
  PLEASE READ CAREFULLY!
- Parents/Guardians - Type your initials here to indicate you have read the box above.
- TO: Boys & Girls Club of London and the Boys & Girls Club of London Foundation (together the “BGCL”) and their directors, officers, employees, instructors, agents, representatives, volunteers, independent contractors, subcontractors, sponsors, successors and assigns (hereinafter collectively referred to as the “Releasees”).
  
  COVID – 19 COVID-19 is a contagious disease (“Covid”). We care about you, your family, our employees and the public. We strive to obey the law and follow Covid guidelines and implement all risk mitigation measures. However there are significant health risks and high risk of transmission through physical or shared contact. COVID-19 is novel and, because it can be transmitted through physical or shared contact with another person, the risk of contraction from engaging in sport activities may be foreseeable.
  
  ASSUMPTION OF RISKS
  
  I am aware that the activities at the BGCL programs involve risks and dangers that may cause serious injury and even death, and loss or damage to personal property. These risks are inherent in the activities and cannot be eliminated without altering their character and value. The risks include, among others, the following: contracting Covid; moving about the BGCL premises; negligence on the part of myself and/or other participants; negligence of the BGCL and its staff, including the improper use of equipment; the breakage and failure of equipment and structures; over exertion, together with other risks which may be encountered and NEGLIGENCE ON THE PART OF THE RELEASEES, INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS REFERRED TO ABOVE.
  
  The BGCL programs are designed for use by participants of average strength, mobility and fitness who are in good health. Several medical
  conditions, including but not limited to obesity, high blood pressure, cardiac and coronary artery disease, pulmonary problems, arthritis, tendonitis, or joint and muscular-skeletal problems may impair the safety and well being of participants as may other medical, physical, psychological or psychiatric problems. All such medical conditions may increase the risk of participating in the programs and cause the participant to be a danger to themselves or others. Participants with underlying medical, physical, psychological or psychiatric conditions must evaluate their condition and their ability before choosing to participate in the programs. All participants must inform BGCL in writing of any such medical, physical, psychological or psychiatric conditions before participating in any programs. The Releasees reserve the right to prevent any person, for medical or safety reasons, from participating in the programs at any time.
  
  I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH MY USE OF THE BGCL PROGRAMS AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE AND LOSS RESULTING THEREFROM.
  
  RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT
  
  In consideration of the Releasees permitting my use of the BGCL PROGRAMS and other facilities at the BGCL (hereinafter referred to as “the BGCL Facilities”), I hereby agree as follows:
  TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against the RELEASEES, and TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense or injury including death that I may suffer, or that my next of kin may suffer resulting from either my use of or my presence at or on the BGCL Facilities DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT, RSO 1990, c.02 ON THE PART OF THE RELEASEES, AND ALSO INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS REFERRED TO ABOVE;
  1. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to property of or personal injury to any third party, resulting from my use of or presence on the BGCL facilities.
  I HAVE READ AND UNDERSTAND THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES.
  
  Signed {dateAnd}
- Signature (Use your finger or the mouse to draw you signature)

- MEDIA CONSENT
  
  BGCL reserve the right and permission to publish, reproduce, distribute and/or otherwise use any still or moving photograph, for such purposes and with such frequency as it shall determine in its sole discretion without further compensation or consideration to me and without further authorization by me for, yet, unnamed video or photographic projects (including promotion, marketing and social media) which shall constitute the sole property of BGCL. BGCL shall be released from and against all liability resulting from its use of the photos or related to my use of the product.
- I have read and understand the Photo Consent Release
- Full Name of Parent/Guardian
  
  First NameLast Name
- Confirmation E-mail
  example@example.com
- Signature
- Date and Time Signed
  
  MonthDayYear
  Date
  Hour MinutesAM/PM Option

Payment

SATURDAY CLASSES

Parent/Tot Gymnastics Class (Ages 3-4) - (SATURDAYS) July 4-August 29 - 10:30-11:15 AM - GENERAL FEE

$115.00 CAD

Beginner Gymnastics Class (Ages 5-10) - (SATURDAYS) July 4-August 29 - 11:30 AM - 12:15 PM - GENERAL FEE

$115.00 CAD

Advanced Gymnastics Class (Ages 5-10) - (SATURDAYS) July 4-August 29 - 12:30-1:15 PM - GENERAL FEE

$115.00 CAD

MONDAY CLASSES

Beginner Gymnastics Class (Ages 5-10) - (MONDAYS) July 6-August 31 - 6:00-6:45 PM - GENERAL FEE

$115.00 CAD

Mixed (Beginner & Advanced) Gymnastics Class (Ages 5-10) - (MONDAYS) - July 6-August 31 - 7:00-7:45 PM - GENERAL FEE

$115.00 CAD

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Please list the name and contact information for any parents/guardians who will be participating in the class with the child:
Should be Empty:

ASSUMPTION OF RISKS

MEDIA CONSENT

Payment

*