Please print this form out and m

Please print this form out and mail it in with your registration fee and class preference.

Are there any physical or emotional limitations the instructors should consider in working with your child? Please explain________________________________________________________

See schedules-all class lists are tentative, based on enrollment. A minimum of 3 students are needed for a class to remain.

Payments are due the first of each session. Each session is 2 months. Payments made after the 7^th of the session will incur a $25 late payment fee. The bounced check fee is $20. If a payment is not made by the 1^st of the following session your child will not be permitted to participate in any further classes. The registration fee is due at sign up and is good until the following September 1^st. This is a non-refundable fee.

If we are unable to collect tuition payments, your account will be turned over to a collection service. A collection fee will be added to your account.

It is highly recommended that students make the yearly commitment in order to receive the full benefit of the dance and gym programs. However, if a child needs to change or drop a class, the office must be notified. Once we are notified of a drop this will free a space for a child on our waiting list. You must notify our office before the beginning of the next session if you plan on dropping a class. Anyone who begins a new session will be expected to pay for a full session. No refund will be given.

You have 60 days or to the last say of June to make up a missed class. Make ups may not be made in the summer session. Please call for an appointment for an appropriate make up class. (No walk ins)Make-ups may be made in any similar age and skill level class or an open workout can be used as a makeup. No refund or credit will be given for missed classes. The child must be a registered student in order to be eligible for a make-up class.

Closings due to snow, etc., can be may up. Please call or check the website before you come if it is snowing. Use your own discretion. Check yearly calendar for scheduled closings.

Students must wait INSIDE the building for their ride. All children should be supervised in the foyer and may not enter the gym/dance room until their teacher directs them to. Parents may not enter the gym without permission.

Articles are kept until June and then given away to charity. Please do not bring valuables to the gym. We will not be responsible for lost or stolen property.

All recital costumes must be ordered by December/January in order to be received by June. Once a costume is ordered for your child, you are committed to paying for it in full, since they are all special ordered and non-refundable. Even if your child drops the class before the recital, the costume must be paid for.

-I hereby certify that my child is in sufficient physical condition to participate without injury.

-Jersey Shore Gymnastics and Dance, its coaches and other staff members, will not accept responsibility for injuries sustained by any student during the course of gymnastics, tumbling, dance, or open workouts, or in the course of exhibitions, competitions, or clinics in which he or she may participate in or while traveling to and from that event.

-With the above in mind, and being fully aware of the risks and possibility of injury involved, I consent to have my child or children participate in the programs offered by Jersey Shore Gymnastics and Dance. I, my executors or other representatives, waive and release all rights and claims for damages, losses, or expenses that I or my child may have against Jersey Shore Gymnastics and Dance and/or its representatives whether paid or volunteer.

-I also affirm that I now have and will continue to provide proper hospitalization, health, and accident insurance coverage which I consider adequate for both my child’s protection and my own protection.

-I hereby release Jersey Shore Gymnastics and Dance staff to render temporary first aid to my child or children in the event of any injury or illness, and if deemed necessary by Jersey Shore Gymnastics and Dance staff, to call a doctor and seek medical help.

-My child’s picture may be used for advertising of the programs.

-I have read the above waiver, understand it, and sign it voluntarily.

-Parent/Guardian Signature__________________________________________ Date_______________

Class:__________________________________ Day________________________ Time___________________________