2024-25 Gymnastics Unlimited Recreation Release Form

GYMNASTICS UNLIMITED

70 Weiss Avenue, West Seneca, NY 14224

716-677-0338

gymnastics-unlimited.net
2024-25 RECREATION RELEASE FORM

Only Fill out if your child is already enrolled in a Class
Have you spoken to someone at Gymnastics Unlimited and enrolled your child and paid the registration fee and tuition?*

YesNo

Please call us at 716-677-0338 to enroll your child in a class.

Payment for the registration and first month will be due at time of sign up.

Parent/Guardian Information
Parent/Guardian 1: Full Name *
Phone #:*

Area CodePhone Number
Email*
Parent/Guardian 2: Full Name*
Phone #: *

Area CodePhone Number
Email*
Emergency Contact Name*
Emergency Contact Phone*

Area CodePhone Number
Person responsible for tuition (if other parent/guardian)*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone #:

Area CodePhone Number
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).

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

If yes,*

I understand that certain behaviors and health issues increase the risk of injury.
If yes. please explain*

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 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 Gymnastics Recreation Program, I understand that a yearly registration fee & 1st month tuition is paid at time of registration and;
The remaining year's monthly tuition is due PRIOR to the 15th of the previous month. Payment received in the office after this date will be considered late. If the 15th is a day the office is closed, payment is required PRIOR to the 15th to avoid being late.
To drop from a class or from the program, a WRITTEN 2 WEEK NOTICE of cancellation must be given to the office. I will be responsible for the portion of the tuition which is covered by the two-week notice. This is calculated from the date that the office receives the notice in person or via email. Telling staff in person or over the phone is not notice.
I pay for my CHILD'S SPOT in his/her class, NOT by their attendance and there is NO pro rating due to lack of attendance.
I understand that make up classes are not offered.
Gymnastics Unlimited reserves the right to remove my child from class for continuously late and/or non-payment.

Additional Health and Facility Policies
I understand that policy may change without notice and Gymnastics Unlimited will post policy changes via email, on the website and in the monthly newsletter.
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; never using any names.

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 I choose to come to the door at drop off / pick up, I will REMAIN OUTSIDE.
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.
There will be no early entry or delayed departures.

CANCELLED AND MISSED CLASSES
I understand Gymnastics Unlimited does NOT offer make ups for missed classes. Gymnastics Unlimited WILL offer make up classes for PLANNED closings. (ex.: Thanksgiving, Memorial Day, etc.)
Gymnastics Unlimited does NOT refund paid tuitions. Credits MAY be offered depending on circumstances.
I understand Gymnastics Unlimited offers make up classes during school breaks for ONLY scheduled closings. At times they will be offered PRIOR to the class actually being missed. It is my responsibility to attend those make ups.

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 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. If is my responsibility to keep updated Unlimited communications.
Please TYPE parent/legal guardian name
Signature

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Today's Date*

MonthDayYear
Gymnasts Name*
Should be Empty:

2024-25 RECREATION RELEASE FORM