2024-25 Fall-Spring TUMBLING Registration

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This class is for Boys and Girls ages 7 and Up who are at ALL LEVELS of Tumbling. This class runs 60 minutes, once a week for 8 weeks. Please complete the form and select Waiting List. Please email crosspointgym@gmail.com for questions. Thank you!

Email *

Student Name *

Student's Age *

Class Selection *

WAITING LIST for Wednesday 8pm-9pm (Age 11+) *NO Payment Due at this time. We will Email when a spot becomes available.

WAITING LIST for Wednesday 7pm (Age 7-10) *NO Payment Due at this time. We will Email when a spot becomes available.

Parent Name *

Cell Phone # *

Home Phone #

Home Address *

Physician Name and Phone Number *

Student Allergies or Medical Conditions *

TUITION Payment Agreement *

Please Review our Tuition Payment Policy and after you Submit Registration, return to the website's ONLINE PAYMENTS Page to pay online.

I agree to Pay the Tuition ONLINE at Time of Registration to secure my child's spot in class. I understand that if Payment is not received at time of Registration and by the Due Date for future Sessions, I forfeit that spot to another student on the Waiting List, per Roth's CrossPoint's discretion.

Required

WAIVER: I am aware that gymnastics and tumbling are vigorous sporting activities involving height and rotation in a unique environment and as such they pose a risk of injury. I understand that gymnastics and related activities always involve certain risks, including but not limited to death, serious neck and spinal injuries resulting in complete or partial paralysis, brain damage and serious injury to virtually all bones, joints, muscles and internal organs and that the mats, pits and other safety equipment and apparatus provided for my child’s protection, including the active participation of a coach or teacher who will spot or assist in the performance of certain skills may be inadequate to prevent serious injury. The risk of harm may be limited by all of the safety equipment and trained coaches, but never eliminated. I understand that participation in gymnastics and related activities involves activities incidental to active participation in gymnastics, including moving from event to event, conditioning, stretching, outdoor games and other activities which may leave my child vulnerable to the negligent and/or reckless actions of other participants who may not have complete control over their actions or knowledge of the risks involved and hereby agree to accept all inherent risks of property damage, personal injury or death that may occur as a result of participation in gymnastics and its related activities. *

I Understand and Agree

Required

COVID-19 RELEASE OF LIABILITY: I understand the hazards of the novel coronavirus (“COVID-19”) and am familiar with the Centers for Disease Control and Prevention (“CDC”) guidelines regarding COVID-19. I acknowledge and understand that the circumstances regarding COVID-19 are changing from day to day and that the CDC guidelines are regularly modified and updated and I accept full responsibility for familiarizing myself with the most recent updates. Notwithstanding the risks associated with COVID-19, which I readily acknowledge, I hereby willingly choose to have my child participate in gymnastics activities, meets, training, and/or camp, hereinafter “the Activities” at Roth’s CrossPoint Gymnastics. Inc. I acknowledge and fully assume the risk of illness or death related to COVID-19 arising from my child being at CrossPoint Gymnastics Center and participating in the Activities and hereby release and/or discharge and/or agree not to sue (on behalf of myself and any minor child for whom I have the capacity contract) Roth’s CrossPoint Gymnastics, Inc., their owners, officers, directors, agents, employees and assigns from any liability related to COVID-19 which might occur as a result of my or my child being on the premises and participating in the Activities. It is my express intent that this release shall bind any assigns and representatives, and shall be deemed as a release and/or discharge and/or agreement not to sue. *

I Understand and Agree

Required

RELEASE OF LIABILITY: I understand that this waiver and Covid-19 release of liability is intended to be as broad and as inclusive as permitted by the laws of the Commonwealth of Pennsylvania and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. I further agree that the venue for any legal proceedings shall be within the State of Pennsylvania. In consideration of my participation, I hereby release and covenant not to sue CrossPoint Gymnastics LLC. or any of their employees, teachers, or coaches from any all present and future claims resulting from ordinary negligence of CrossPoint Gymnastics or others listed for property damage, personal injury or wrongful death, arising as a result of my engaging in or receiving instruction in gymnastics, cheerleading, tumbling, camp activities, outdoor activities or any other activities incidental thereto, wherever, whenever or however the same may occur.I further agree to indemnify and hold harmless CrossPoint Gymnastics, Inc.. for any and all claims arising as a result of my engaging in or receiving instruction in CrossPoint Gymnastics Center, or any outdoor camp activities incidental thereto, whenever, wherever or however the same may occur. *

I Understand and Agree

Required

MEDICAL AUTHORIZATION: In the case of an emergency, I authorize Roth’s CrossPoint Gymnastics, Inc. to transport my child and/or ward to a doctor, hospital or other health care facility and to act in my place to obtain medical or hospital treatment, if unable to reach a parent or guardian. *

I understand and Agree

Required

USE OF IMAGES/NAME IDENTIFICATION: I authorize Roth’s CrossPoint Gymnastics, Inc. to use images of my child(ren) without name identification, for Roth’s CrossPoint Gymnastics, Inc.’s publicity, promotional and/or advertising purposes and I hereby release any and all claims and/or rights I and/or my child and/or ward might have as a result. *

I Understand and Agree

Required

ACKNOWLEDGEMENT OF RULES AND POLICIES: I acknowledge that Roth’s Crosspoint Gymnastics, Inc. has rules and policies in place regarding safety, registration, tuition payment, use of facilities, and conduct. These rules include, but are not limited to: tuition payment must be paid in full for a student to participate. Class fees are non-transferable and non-refundable after the session begins. I have reviewed and understand the rules and policies currently in place. I understand that failure to follow the rules and/or policies may result in revocation of all entitlements and/or privileges without refund of prepaid fees, at Roth’s CrossPoint Gymnastics, Inc.’s‘ absolute discretion. *

I Understand and Agree

Required

Please Sign by Typing your full name followed by your initials. *

A copy of your responses will be emailed to the address you provided.

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