Welcome to FitKidz Gymnastics Club!


BC Gymnastics Fee: $35 per athlete	Recreational/Interclub Athlete Registration Form	Artistic Recreation Program

The following participant information is collected by GBC for it's own use and must be completed to be properly registered.

Last Name*

First Name *

Male

Female

Birthdate (yy/mm/dd)*

Age *

Home Phone *

Mailing Address *

City *

Postal Code *

Email Address

The following participant information is collected by GBC on behalf of your club which retains control and custody of it for safe emergency purposes.

BC Medical Number *

Medical Info *

Parent/Guardian *

Relationship *

Phone *

Emergency Contact (other than Parent/Guardian) *

Phone *

Name of Doctor *

Phone *

I do NOT consent for Use of Likeness and information.
I do NOT want my family to be included on the GBC mailing list.
I HAVE READ THE MINOR RELEASE STATMENT/ADULT WAIVER AND AGREE WITH THE TERMS

Classes are filled on a first come first served basis. Classes are limited in size; please indicate your 1st and 2nd choice from schedule provided. Indicate in other section if there is a preferred day and time not shown on schedule. Although we cannot guarantee that you will get your choices, every effort will be made to accommodate your request. Please select your preferred days and times:

1st: Day:*
Time:*

2nd: Day:
Time:

Other: Day:
Time:

Refund Policy
A full refund will be offered before the program begins, no questions asked! A prorated refund will be granted until the 4th week of each session. A $15.00 Administration Fee applies.

Medical Authorization
I authorize FitKidz Gymnastics Club and its staff to provide all emergency medical care, which they may deem necessary for my child as the case may be, in the event of an injury. I agree to reimburse 'FitKidz Gymnastics Club ' for any expenses thereby incurred.

Behavior and Conduct
I hereby acknowledge that my child will act in accordance with the FitKidz Gymnastics Club rules and regulations and participate in an appropriate and reasonable manner at all times. Should FitKidz Gymnastics Club and their staff determine, at their sole discretion, that my child's actions are inappropriate, my child will be released from the FitKidz Gymnastics Club Program immediately. A partial refund, less $15.00 Administration Fee will apply.

Name of legal Guardian *

Date (yy/mm/dd) *