2017-2018 Fall/Spring BOYS Level 2 Gymnastics Class
This class is for Boys ages 9 and Up who are at the intermediate level of gymnastics. This class runs 75 minutes, once a week for 8 weeks. Tuition is $215 per session. Please complete the form and select your class choice. Payment is due at registration to reserve your spot in class. Please email crosspointgym@gmail.com or call 610-497-1777 for questions. Thank you!
Student's Full Name *
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Student's Age *
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Class Selection *
Please choose the Day and Time of your class.
Parent Name *
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Cell Phone # *
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Home Phone #
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EMail Address *
Please include all the emails you would like to receive information at.
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Home Address *
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Physician Name and Phone Number *
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Student Allergies or Medical Conditions *
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Payment Choice *
Please choose the method you will be paying. Please return to the website's ONLINE PAYMENTS Page to pay online.
Roth's CrossPoint 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 and other activities which may leave my child vulnerable to the 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 my child’s and all inherent risks of property damage, personal injury or death.I further agree to indemnify and hold harmless Roth's CrossPoint Gymnastics, LLC, for any and all claims arising as a result of my engaging in or receiving instruction in CrossPoint Gymnastics Center, activities or any activities incidental thereto, whenever, wherever or however the same may occur.
Required
Roth's CrossPoint Release of Liability *
I understand that this waiver is intended to be as broad and as inclusive as permitted by the laws of the State 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 Roth's 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, tumbling, or any other activities or any activities incidental thereto, wherever, whenever or however the same may occur.
Required
Medical Authorization *
In the case of an emergency, I authorize CrossPoint Gymnastics 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 parent or guardian.
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Use of Images *
I authorize CrossPoint Gymnastics to use images of my child(ren) without name identification, for CrossPoint Gymnastics publicity, promotional and 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.
Required
Rules and Policies *
I acknowledge that CrossPoint Gymnastics has rules and policies in place regarding safety, registration, tuition payment, use of facilities, conduct and others. 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/policies may result in revocation of all entitlements and privileges without refund of prepaid fees, at CrossPoints ‘ absolute discretion.
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Please Sign by Typing your full name followed by your initials. *
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