Gaylord Summer 2021 Registration

Athlete Name *

Athlete D/O/B *

Parent/Guardian Name *

Emergency Contact Phone Number *

Contact Email Address (This will be used as our main source of communication.) *

Student Physician & Health Concerns *

Select Class(es) (Gaylord) Select all that apply Level 1 (Fridays 10-11) Level 1 (Fridays 6-7p) 3-5 Years (Friday 11-11:45) 3-5 Years (Friday 5:15-6) Tots (Friday 12-12:30) Minis Cheer Team (5-9 Years) Pre-Team for Comp. Gymnastics (Thurs 6-7)

Payment Frequency Select all that apply Monthly Per Season (5% Discount Available) (June-Aug, Sept-Dec, or Jan-May) Per Year (10% Discount Available) (Sept-May)

Please enter your start date if you are not starting immediately:

Name on Credit Card (A credit card is required to be put on file. Cards will not be charged unless a payment is 45 days past due, or autopay is selected.) *

Credit Card Number *

Expiration Date *

CVV *

Zipcode *

Would you like to sign up for autopay? (Only available for monthly tuition - 3% card processing fee still applies) Select all that apply No Yes

Participation Waiver Select all that apply I recognize the potential for injuries, which can occur in gymnastics and activities involving tumbling, trampolining and exercise. I hereby consent to the above guest participating in activities on equipment used by Skye High Gymnastics Center and hereby agree to release the CRAF Center, Skye High Gymnastics Center, it's officers, employees, teachers and coaches from all liability for any and all damages suffered by my child while under the instruction, supervision, or control of Skye High Gymnastics Center. I also allow the release of any images taken of my child to be posted to social media. I understand that payment is due the first week of every month. Any payment that is 45 days past due will be charged to the card on file.

COVID-19 Clause Select all that apply While SHGC is following all guidelines, I understand that any illness that may arise from participation at Skye High Gymnastics Center during these times leaves no one at fault, and hereby agree to release Skye High Gymnastics Centers, it's officers, employees, teachers, and coaches from all liability for any and all illnesses suffered by my child.