Registration Form
Billing Name
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How did you hear about us?
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Office use only
Class Code
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I understand that there is a
$35.00 registration fee once a year, unless I quit and re-register at that time
there would be another $35.00 fee.
The first month’s tuition is due in full at registration.
I understand that I am to pay
my child’s tuition in full on the 1st of the month.
If I fail to pay by the 10th I will be charged a $10.00 late
fee. After the 25th, the
student may be dropped from the class
and placed on a waiting list. I
understand that if I mail my tuition, it must be postmarked by 5th to
eliminate any possibility for it being received any later then the 10th.
I under that all fees are
NON-REFUNDABLE. I understand that
if my child drops a class that I must notify the office through a note to the
office. I understand that payment
for all classes will be my responsibility until the arrival of such
notification.
I also understand that some
months have an extra class included in that month and I am not charged for that
class. Therefore, during the year I
receive a number of “free classes.”
These are considered make-up classes for national holidays.
Therefore, on short months, I will pay full payment
Signature
Date
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I grant to Acrotex the right to take
Photographs/video of my child. I
agree that Acrotex may use such photographs or videos for any lawful purpose,
including such purpose as publicity, illustration, advertising and web content.
Signature
Date
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Waiver and Release Form
By reading and signing this
form, you are agreeing and aware that you are engaging in activities with
Athletic Systems, Inc, dba AcroTex Gymnastics that includes but are not limited
to physical exercise and use of exercise equipment, club facilities, training
and instruction. These activities
could cause injury to you or others.
You are voluntarily participating in these activities and assume all
risks of injury and liability that might result.
You agree to waive any claims or rights you might otherwise have to
pursue Legal or other actions against Athletic Systems Inc., dba AcroTex, the
facility’s owners, officers, employees, or agents for any reason.
You have carefully read this waiver and declare you are sufficiently
physically fit for any exercise activities.
It is always advisable to consult your physician before undertaking a
physical exercise program.
Child’s Name
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Parents or Guardian
Signature
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