Registered "*" indicates required fields Student Name* Male / Female* Male Female AgeBirthday* MM slash DD slash YYYY Address* Home PhoneCity State Zip Code Parent Name Cel PhoneParent Name Cel PhoneEmergency PhoneName/Relationship E-mail Address* Referred by Untitled Class Registration Open GYM Birthday Party Camp 1st Preference MM slash DD slash YYYY Time Hours : Minutes AM PM AM/PM 2nd Preference MM slash DD slash YYYY Time Hours : Minutes AM PM AM/PM Please indicate any physical impairment or limitation belowAcknowledgement of Risk and Waiver of availability Asthe parent orlegal quardian of above named child, | hereby consent to the above named person participating in the programs offered by Sunrise Gymnastics Academy, Inc. | recognize that potentially severe injuries, including sprains, strains, broken bones, permanent paralveis or death can occur in any activity including height or motion including gymnastics | UNDERSTAND AND ACCEPT THAT RISK. | aso realize that my child will be performing and training on all gyrnnastics events plus various training devices including the trampoline. Additionally, Sunrise Gymnastics Academy, Inc. fas my permission te render any necessary first aid treatment te my child while in attendance at Sunrise Gymnastics Academy, Inc. In consideration for allowing my child te use Sunrise Gymnastics, Inc. equipment and facilities, | hereby forever release Sunrise Gymnastics Inc, its owners, officers employees teachers and coaches for all liability for any and all damages and injuries suffered by my child while under the inetruction, supervision or control of Sunrise Gymnastics Inc, it's owners, officers, employees, teachers or coaches, l understand that Sunrise Gymnastics Inc. is mo longer responsible for the safety of my child once my child has left the building and! understand that my child cannot leave the building until a responsible party arrivesto pick him/her up. As the parent or legal guardian of the aforementioned person, | hereby agree to individually protect for the pussible future medical expenses which may be incurred by my child aS a result of any injury sustained while training at Sunrise Gymnadics Academy, Inc. | will Tallow all rules and policies as set forth by Sunrise Gyrnnastics, Inc. Sunrise Gymnastics Academy, Inc. reserves the right to refuse re-enrolimentte any member who doesnot follow all rules and policies asset forth and contained in the SG.A. Booklet. This acknowledgement of risk and waiver of liability, having been read thoroughly and understood completely, is signed voluntarily aste its content andintent. Signature of Parent or Legal GuardianDate MM slash DD slash YYYY Please Print NameDate MM slash DD slash YYYY POLICIES Registration: All students are required to fill out a registration waiver form that must be signed by a parent or legal guardian. There is a Yearly Administrative fee that is paid each year when the student starts and then every 12 months thereafter. Class Fees: Fees are based on a four week session, and the year is divided into twelve (12), four week sessions. Please consult the Sunrise Yearly Calendar for the session dates. Once your child has registered for a class, the space is reserved from session to session from September through June. The July and August Sessions are considered summer schedule sessions and require separate signup. Once your child is registered for the July Session, the space is automatically held for the August Session. Payments are due on or before the first class of each session. A late fee will be added to all accounts with a remaining balance after the second week of each session. As we prepare each class, we plan and provide for the inclusion of your child, therefore, missed classes cannot be deducted from the tuition. Fees may be paid by cash or check. in person by dropping them into the fee box located in each office, by mail, or dropped in our locked drop box outside. Checks made payable to "Sunrise Gymnastics Academy" with the child's name on the memo line are preferred. There is a service fee for each returned check. absence/Make-Up Policy: Make-up lessons are allowable in mast Sunrise programs, however, only for serious illness or prolonged vacation. Arrangements for make-ups must be made in advance by phone or in person. A 24-hour cancellation notice for a scheduled make-up is required or you will forfeit your make-up. Make-up classes are allowed while students are enrolled in classes. No make-up will be allowed for a student who is not currently enrolled. Member account must be currently paid up to date in order to schedule a make-up class. Withdrawal notification: Form required is located below and must be signed before the first class of the next session. You will be charged up to the date our office receives your signed withdrawal notification. WITHDRAWAL NOTIFICATION FORM (Oo not detach this from your registration waiver for) Student Name Today's Date MM slash DD slash YYYY Last Date of Attendance MM slash DD slash YYYY Reason for of Withdrawal Parent Signature