2024-2025 Gymnastics Unlimited/Orchard Park Gymsters Team Release Form

2024-25 TEAM RELEASE FORM
GYMNASTICS UNLIMITED/

ORCHARD PARK GYMSTERS

70 Weiss Avenue, West Seneca, NY 14224

716-677-0338

gymnastics-unlimited.net
Child's First Name*
Child's Last Name*
Child's Date of birth*

MonthDayYear
Child's Age*
Male or Female*

MaleFemale
City*
Zip*
Parent/Guardian 1: Full Name*
Phone #:*
Email*
Place of Employment*
Parent/Guardian 2: Full Name*
Phone #:*
Email*
Place of Employment*
Emergency Contact Name*
Emergency Contact Phone*
Person responsible for tuition(if other parent/guardian)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone #:
initial* I am the custodial parent and responsible financially to Gymnastics Unlimited(I may bill a 3rd party, but I understand it is NOT the responsibility of Gymnastics Unlimited to collect from any person other than the signee.

Address*
HEALTH INFORMATION
My Child has medical/health insurance:*

YesNo
Gymnastics Unlimited relies on the parent or legal guardian's judgement regarding the child's ability & health to participate in the sport/activity.
Does your child have any behavioral or health limitations/issues that my affect class or learning?*

YesNo

Athlete Release/Permission for Medical Treatment
*

Participation is entirely his or her own choice and with the understanding of risk of accidental injury involved in any activity involving unusual motion or height. If a minor, the parents acknowledge that they know of this injury risk the minor is assuming. In the event of an emergency requiring medical attention, I hereby grant permission to the personnel at Gymnastics Unlimited to administer first aid, emergency personnel and/or physician or other hospital personnel designated by the Gymnastics Unlimited to attend my son/daughter (or ward).
*

Participant attending the gym and using the facilities, does so at his or her own risk, The Gym operator, administrators. coaches & staff shall not be liable for any damage arising from personal injuries sustained by participant in or about the premises. Participant assumes full responsibility for all injuries and damages which may occur in or about the premises and he or she does hereby fully and forever release and discharge the gym operator. all associated gyms. their owners, employees, and agents from any and all claims, demands, damages, rights of action present or future, resulting from or arising out of the participants use of the gym and/or its facilities.

Tuition Policies Statement
By enrolling my child in the Orchard Park Gymsters Team Program, I understand that a yearly, non-refundable registration fee is due each year and tuition will be paid through ACH withdrawal on the 1st of each month. Early bird registration is available to current team members before becoming available to new team members.
If I choose not to have automatic withdrawals, tuition will be paid prior to the 15th of the previous month. A late fee of $10 will be charged on the 16th if not paid. I also understand if the 15th is on a day the gym is closed, I understand tuition should be paid PRIOR to the 15th.
Tuition is based on the number of practices from Sept-June divided into 10 equal payments. This takes into account meet weekends, gym closures due to holidays and 3 “emergency” closures that the team practice may be canceled.
I understand this is a year round sport. If withdrawing is necessary, there must be a two week written notice and all financial responsibilities must be fulfilled (monies due to Gymnastics Unlimited & Booster Club fees)
Gymnastics Unlimited reserves the right to remove my child from class for non payment.

Additional Health and Facility Policies
I understand that policy may change without notice and Gymnastics Unlimited will post policy changes via email.
I understand it is my responsibility to provide a working email as this is Gymnastics Unlimited's main communication with parents. It is my responsibility to keep abreast of Gymnastics Unlimited's communications.

I. nor my child, will not enter Gymnastics Unlimited if myself or my child has or had: 1. a fever of 100.4 above, 2. diarrhea, pink eye, vomiting or any other contagious virus, 3. has not been symptom free of any of the above for at least 24 hours.
In addition, I understand, even with precautions taken by Gymnastics Unlimited, becoming ill is still a risk.
AUTHORIZATION FOR USE OF PHOTOS IN ADVERTISING PURPOSES ONLY
I understand Gymnastics Unlimited may publish my child's picture on social media and/or advertising.

DROP OFF/PICK UP POLICY
Gymnasts will be left to a staff person at the door from a vehicle or the sidewalk prior to class and released to a parent/guardian waiting outside or in a vehicle after class. I understand that if choose to come to the door at drop off / pick up, I will REMAIN OUTSIDE unless I sign up for viewing or need to stop at the front desk.
The circle is for drop off and pick up ONLY. Parking in the circle is prohibited. IF I need to get out of my car, I will PARK it in a spot in the lot.

CANCELLED AND MISSED CLASSES
I understand Gymnastics Unlimited does NOT offer make ups for missed practices.
I understand that canceled practices due to holidays, meets and weather are taken into consideration when the tuition is calculated and will not need to be “made up.”
Gymnastics Unlimited does NOT refund paid tuitions. Credits MAY be offered depending on circumstances.

ORCHARD PARK GYMSTERS BOOSTER CLUB

I understand that:
Team fee is based on the number of gymnasts and although it may be broken down into payments for convenience, it must be paid in full regardless if my child competes or remains in the program or not.
Meet entry fees will be paid prior to deadline, even if the deadline is not my child’s practice day. If paid after deadline I will incur a late fee and/or possible forfeiture of my child’s entry into the competition.
I am required to volunteer at the gymnastics meets hosted by the Orchard Park Gymsters
I will partake in all “general” fund raisers that benefit the whole team.
My child, being part of a team program, will be attending all competitions unless otherwise permitted
This is not an all inclusive list of the Orchard Park Gymsters Booster Club policies

ASSUMPTION OF RISK
I have read this release form regarding any and all classes at Gymnastics Unlimited. I agree to follow all and understand that there is an assumption of risk involved with participating in the sport of gymnastics. I agree not to hold Gymnastics Unlimited, its officers, agents or instructors responsible for any damages, injuries permanent disabilities or even death which may occur with my association to Gymnastics Unlimited. I will give proper notice of any injury that may limit participation in any class. I understand and give permission for treatment to be initiated by Gymnastics Unlimited. I understand policies may change without prior but notice will be given via email, website post and newsletters. It is my responsibility to keep updated Unlimited communications.
Please TYPE parent/legal guardian name
Signature

Clear
Today's Date*

MonthDayYear
Gymnasts Name*
Should be Empty:

2024-25 TEAM RELEASE FORM