Register Class Registration 2022-2023 Membership Year Session Registration Fee AmountMembership Type Session Start Date MM slash DD slash YYYY Today MM slash DD slash YYYY Session End Date MM slash DD slash YYYY Class Selection(Required) Babynastics 1 (Ages 6m to Pre-Crawling) Babynastics 2 (Ages Crawling to Walking) Mini-Heroes (Ages Newly Running to 36m) Super Heroes (Ages 3-5) Super Flyers (Ages 4-6) Beginner Acrobatics (Ages 6+) Intermediate/Advanced (Ages 7+) Homeschool Gym (Ages 6-15) Tumbling, Trampolining and Conditioning (Ages 9+) Please note:Our "Babynastics" and "Heroes" programs are parent and tot format. One parent or guardian must attend with the participant. Insurance Provider Notice:: The use of baby slings to hold a child while a parent is on the floor during a parented class is not a permitted activity. The use of baby slings to hold a child while a parent is on the floor during a parented class is not a permitted AGF activity. In addition to the safety issue this poses by potentially interfering with the training of the child, as well as the risk of a fall the infant sibling is exposed it is the parent’s responsibility to provide their child with their undivided attention. Also note that children in strollers or car seats on the sidelines or in viewing areas are considered to be unattended and as such pose a great risk to the organization. Providing any form of childcare or supervision for these children by the club whether it be expressed or implied is not a sanctioned activity and therefore NOT covered by the insurance policy. It is the parent’s responsibility to provide their child with their undivided attention during parent participation classes. Select Time(Required)Babynastics 1 (Parent and Baby) Mondays 10:00am-10:45am (4 spots remaining) Select Time(Required)Babynastics 2 (Parent and Baby)Sorry, there are no more spots availableSelect Time(Required)Super Heroes (Parent and Tot) Thursdays 1:00pm-1:45pm (5 spots remaining) Fridays 3:30pm-4:15pm (0 spots remaining) Select Time(Required)Super Flyers Thursdays 2:00pm-2:45pm (1 spot remaining) Fridays 4:30pm-5:15pm (0 spots remaining) Select Time(Required)Mini Heroes (Parent and Tot) Mondays 1:00pm-1:45pm (1 spot remaining) Select Time(Required)Beginner Sorry, there are no more spots available.Check back soon! As participants move to Intermediate, freeing up spaces in Beginner classes. This is especially common at the beginning of a season or month. If you would like to join our waitlist to be texted when a spot comes available, please send a text message to 780-818-8713 with your name participant name participant age preferred class and time Beginner Class Times Wednesdays 4:30pm-4:30pm Wednesdays 6:00pm-7:00pm Thursdays 3:30pm-4:30pm Saturdays 9:00am-10:00am Saturdays 11:00am-12:00pm Select Time(Required)Intermediate / Advanced Wednesdays 4:30pm-6:00pm (3 spots remaining) Wednesdays 6:00pm-7:30pm (0 spots remaining) Thursdays 3:30pm-5:00pm (6 spots remaining) Saturdays 9:00am-10:30am (3 spots remaining) Saturdays 11:00am-12:30pm (6 spots remaining) Select Time(Required)Homeschool GymSorry, there are no more spots availableSelect Time(Required)Tumbling, Trampoline and ConditioningSorry, there are no more spots availableSelected Class Name Selected Time First Class Date MM slash DD slash YYYY This is the first date of the class you have selected, based on the date of your registration and any planned gym closures.First Payment*This is the amount of class fees due today and includes your first calendar month of classes. *Note this does not include processing, registration fees or GSTFirst Automatic Payment This is the date of your first automatic payment after your initial registration.Monthly Payment*This is the amount that will be billed monthly starting on your second month of participation.*Note this does not include processing, registration fees or GSTNumber of Months Cancellation Policy: Cancellation must be received prior to the 15th of the month to cancel the following month."Snow Days" You have been allocated this number of days for free through to the end of the registration period. Allocating some free days allows us to account for emergency closures for weather, illness or other unexpected event without issuing refunds or credits. Tumbling Prerequisites(Required)Our tumbling program is not designed for beginners and has some basic requirements. Note that if the participant does not meet these requirements, our Beginner and Intermediate Acro programs also contains a tumbling component and would allow us to provide more direct attention to prepare the participant for a tumbling focussed program. If you are unsure if your child meets these requirements we suggest registering for one of our other programs where can do an assessment during their first class. We can transfer them to our tumbling program after that assessment. Tumbling prerequisite: 1. Athletes must have some experience in a previous gymnastics, cheer or dance program. 2. Athletes must already be able to: a. Clean round-off with rebound b. Cartwheel with straight legs c. Unassisted back bridge d. Unassisted Backwards roll and Forwards Roll I believe the registering athlete meets or exceeds these prerequisites. Warm Up Policy(Required)While warm ups may look like just fun games at times, they are a critical part of a safe training program. In order to provide a safe experience for all our participants, taking part in warm-up is essential. Participants missing warmups by arriving more than 5 minutes late may not be permitted to participate in classes and may be sent home. Refunds are not provided for classes missed due to tardiness. This is for the participant's safety. I agree to the warmup policy. Registration InformationContact Email(Required) Contact Concent(Required)I acknowledge that Gymnastically Inclined, Inc./Edmonton Acro may contact me via email, postal mail, telephone, text message, and other means to periodically provide relevant program information. This includes but is not limited to new class information, program schedule changes invoicing and class cancellations. I agree.First Time Registration(Required)Is this your first registration for the season (July 1, 2022 - June 30, 2023)? A once per season processing fee of $35.00 + GST will be charged. You only need to be charged this fee once per season per athlete and do not need to pay it again for future registrations between July 1, 2022 and June 30, 2023 Yes No Confirmation Code(Required)Please enter the registration fee confirmation code provided when you did your first registration of the season for this athlete. Create Membership Participant Name(Required) First Last Participant Birth Date(Required)YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920MM123456789101112DD12345678910111213141516171819202122232425262728293031Gender(Required) Male Female Non-Binary Participant Age Please verify Participant Birth DateAge Warning: The participant's age doesn't meet the age requirements for the selected class. Please verify the participant's birth date and class selection.Age Warning: The participant's age doesn't meet the age requirements for the selected class. Please verify the participant's birth date and class selection.Age Warning: The participant's age doesn't meet the age requirements for the selected class. Please verify the participant's birth date and class selection.Age Warning: The participant's age doesn't meet the age requirements for the selected class. Please verify the participant's birth date and class selection.Age Warning: The participant's age doesn't meet the age requirements for the selected class. Please verify the participant's birth date and class selection.Age Warning: The participant's age doesn't meet the age requirements for the selected class. Please verify the participant's birth date and class selection.Age Warning: The participant's age doesn't meet the age requirements for the selected class. Please verify the participant's birth date and class selection.Age Warning: The participant's age doesn't meet the age requirements for the selected class. Please verify the participant's birth date and class selection.Age Warning: The participant's age doesn't meet the age requirements for the selected class. Please verify the participant's birth date and class selection.Age Warning: The participant's age doesn't meet the age requirements for the selected class. Please verify the participant's birth date and class selection.Age Warning: The participant's age doesn't meet the age requirements for the selected class. Please verify the participant's birth date and class selection.Age Warning: The participant's age doesn't meet the age requirements for the selected class. Please verify the participant's birth date and class selection. Participant Address(Required) Mailing Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Medical Concerns or ConditionsPlease let us know if there are important medical conditions or concerns the coaches should be aware of. eg. Asthma, extreme allergies, etc.Parent / Guardian InformationParent/Guardian Name(s)(Required) Phone Type(Required)Do you have a cell phone (preferred) or land line in case we need to contact you for unexpected or urgent class information such as class cancellations. Cell Phone (Call / Text) Land Line (Voice Only) Land Line(Required)Please enter a phone number you would like us to call you on if we need to get a hold of you for urgent class information such as class cancellations.Cell Phone(Required)Please enter a cell number you would like us to text you on if we need to get a hold of you for urgent class information such as class cancellations.Emergency Contact NameIn the event of an emergency and we can not contact the parent or guardian, please provide at least one emergency contact. Emergency Contact PhoneIn the event of an emergency and we can not contact the parent or guardian, please provide at least one emergency contact. Online WaiverALBERTA GYMNASTICS FEDERATION RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT WARNING! Please read carefully By signing this document, you will waive certain legal rights – including the right to sue.(To be executed by participants under 18 years old)(To be executed by participants over 18 years old)Participant First Name Participant Last Name Participant Gender Parent (Guardian) Name Part 1 This is a binding legal agreement. Clarify any questions or concerns before signing. As a participant in the sport of gymnastics and the spectating, orientation, instruction, activities, competitions, programs, and services of Alberta Gymnastics Federation and Gymnastically Inclined, Inc. O/A Edmonton Acrobatic Gymnastics (collectively the “Activities”), the undersigned acknowledges and agrees to the terms outlined in this document. Disclaimer Alberta Gymnastics Federation and Gymnastically Inclined, Inc. O/A Edmonton Acrobatic Gymnastics, and their respective Directors, Officers, committee members, members, employees, coaches, volunteers, officials, participants, agents, sponsors, owners/operators of the facilities in which the Activities take place, and representatives (collectively the “Organization”) are not responsible for any injury, personal injury, damage, property damage, expense, loss of income or loss of any kind suffered by a Participant during, or as a result of, the Activities, caused in any manner whatsoever including, but not limited to, the negligence of the Organization. Part 1 Agreement(Required) I have read and agree to be bound by paragraphs 1 and 2Part 2Description and Acknowledgement of Risks I understand and acknowledge that a) The Activities have foreseeable and unforeseeable inherent risks, hazards, and dangers that no amount of care, caution or expertise can eliminate, including without limitation, the potential for serious bodily injury, permanent disability, paralysis, and loss of life. b) The Organization may offer or promote online programming (such as webinars, remote conferences, workshops, and online training) which have different foreseeable and unforeseeable risks than in-person programming. c) The Organization has a difficult task to ensure safety and it is not infallible. The Organization may be unaware of my fitness or abilities, may misjudge weather or environmental conditions, may give incomplete warnings or instructions, and the equipment being used might malfunction; and d) The Organization has put in place preventative measures to reduce the spread of contagions; however, the Organization cannot guarantee that I will not become infected by a contagion. Further, participating in the Activities could increase my risk of exposure and/or illness from infectious disease and contagions. I am participating voluntarily in the Activities. In consideration of my participation, I hereby acknowledge that I am aware of the risks, dangers and hazards associated with or related to the Activities. The risks, dangers and hazards include, but are not limited to: a) Contracting COVID-19 or any other contagious disease. b) Privacy breaches, hacking, technology malfunction or damage. c) Executing strenuous and demanding physical techniques and exerting and stretching various muscle groups. d) Vigorous physical exertion, strenuous cardiovascular workouts and rapid movements. e) The failure to properly use any piece of equipment or from the mechanical failure of any piece of equipment or apparatus. f) Failure to follow instructions or rules. g) Spinal cord injuries which may render me permanently paralyzed. h) Serious injury to virtually all bones, joints, ligaments, muscles, tendons, and other aspects of my body or to my general health and well-being. i) Abrasions, sprains, strains, fractures, or dislocations. j) Concussion or other head injuries, including but not limited to, closed head injury or blunt head trauma. k) Physical contact with other participants, spectators, equipment, and hazards. l) Collisions with walls, any gymnastics apparatus, floors or mats. m) Falling, tumbling, or hitting any gymnastics apparatus, the floor, mats, or other surfaces. n) Physical contact with other participants (including spotters). o) Not wearing appropriate safety or protective equipment. p) Failure to act safely or within my own ability or designated areas. q) Negligence of other persons, including other spectators, participants, or employees. r) Travel to and from competitive events and associated non-competitive events which are an integral part of the Activities; and s) Negligence on the part of the Organization, including failure by the Organization to take reasonable steps to safeguard or protect me from the risks, dangers and hazards associated with my participation in the Activities. Part 2 Agreement(Required) I have read and agree to be bound by paragraphs 3 and 4Part 3Terms In consideration of the Organization allowing me to participate in the Activities, I agree: a) That when I practice or train in my own space, I am responsible for my surroundings and the location and equipment that I select. b) That my mental and physical condition is appropriate to participate in the Activities and I assume all risks related to my mental and physical condition. c) That I may experience anxiety while challenging themselves during the Activities. d) To comply with the rules and regulations for participation in the Activities. e) To comply with the rules of the facility or equipment. f) That if I observe an unusual significant hazard or risk, I will remove myself from participation and bring my observations to a representative of the Organization immediately. g) The risks associated with the Activities are increased when I am impaired, and I will not participate if impaired in any way. h) That it is my sole responsibility to assess whether any Activities are too difficult for me. By commencing an Activity, I acknowledge and accept the suitability and conditions of the Activity. i) That COVID-19 is contagious in nature and I may be exposed to, or infected by, COVID-19 and such exposure may result in personal injury, illness, permanent disability, or death; and j) That I am responsible for my choice of safety or protective equipment and the secure fitting of that equipment. Release of Liability and Disclaimer In consideration of the Organization allowing me to participate, I agree: a) That the sole responsibility for my safety remains with me. b) To ASSUME all risks arising out of, associated with, or related to my participation. c) That I am not relying on any oral or written statements made by the Organization or its agents, whether in a brochure or advertisement or in individual conversations, to agree to participate in the Activities. d) To WAIVE any and all claims that I may have now or in the future against the Organization. e) To freely ACCEPT AND FULLY ASSUME all such risks and possibility of personal injury, loss of life, property damage, expense, and related loss, including loss of income, resulting from my participation in the Activities. f) To FOREVER RELEASE the Organization from any and all liability for any and all claims, demands, actions, damages (including direct, indirect, special and/or consequential), losses, actions, judgments, and costs (including legal fees) (collectively, the “Claims”) which I have or may have in the future, that might arise out of, result from, or relate to my participation in the Activities, even though such Claims may have been caused by any manner whatsoever, including but not limited to, the negligence, gross negligence, negligent rescue, omissions, carelessness, breach of contract and/or breach of any statutory duty of care of the Organization; g) To FOREVER RELEASE AND INDEMNIFY the Organization from any action related to my becoming exposed to or infected by COVID-19 as a result of, or from, any action, omission or negligence of myself or others, including but not limited to the Organization; h) That the Organization is not responsible or liable for any damage to my vehicle, property, or equipment that may occur as a result of the Activities. i) That negligence includes failure on the part of the Organization to take reasonable steps to safeguard or protect me from the risks, dangers and hazards associated with the Activities; and j) This release, waiver and indemnity is intended to be as broad and inclusive as is permitted by law of the Province of Alberta and if any portion thereof is held invalid, the balance shall, notwithstanding, continue in full legal force and effect. Jurisdiction I agree that in the event that I file a lawsuit against the Organization, I will do so solely in the Province of Alberta and further agree that the substantive law of the Province of Alberta will apply without regard to conflict of law rules.Part 3 Agreement I have read and agree to be bound by paragraphs 5 to 7Part 4Acknowledgement I am not relying upon any oral or written representations or statements made by the releasees with respect to the safety of competitive activities or activities other than what is written in this release. I confirm that I have read and understand this release prior to signing it, and I am aware that by signing this release I am waiving certain legal rights which I or my heirs, next of kin, executors, administrators, assigns and representatives may have against the releasees forever. For participants of minority age. I hereby certify that I, as parent / guardian with legal responsibility for this participant of minority age, do consent and agree, to his / her release of all the releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify the releasees from any and all liabilities incident to this participant of minority age’s participation in competitive activities or activities and use of the facilities. Part 4Acknowledgement I acknowledge that I have read and understand this agreement, that I have executed this agreement voluntarily, and that this agreement is to be binding upon myself, my heirs, spouse, children, parents, guardians, next of kin, executors, administrators and legal or personal representatives. I further acknowledge by signing this agreement I have waived my right to maintain a lawsuit against the Organization on the basis of any claims from which I have released herein. SignatureSignature(Required)Date DD slash MM slash YYYY PIPA AGREEMENT*Note should you choose you can withdraw your consent by providing written notice at any time to Edmonton Acrobatic Gymnastics.Your personal information such as Name, Date of Birth, Gender, Address, Phone, and Email will be protected and managed in accordance with the PIPA and made available only to the staff of the Gymnastics Club and Alberta Gymnastics Federation (pertaining to any information related to Alberta Gymnastics Federation Membership, this includes but not limited to emails for special events, live broadcasting, video, results, website, noticeboards, advertising, photos, social media platforms, funding, and Team Alberta requirements). Non- identifying information will be provided to Gymnastics Canada and the Alberta Sport Connection.Membership Information(Required) To send information (Pertaining to Alberta Gymnastics Federation Membership and the Gymnastics Club programs. This includes but not limited to emails, newsletters, special events, general information, fundraising, donation request, invoices, honorariums, Team Alberta, etc).Media(Required) To take pictures or video of me/my child during my/their participation in any program, and that these may be used for advertising, newsletters, noticeboards, website, live broadcast, special events, Team Alberta, and any social media platforms. (Gymnastics Club and Alberta Gymnastics FederationTraining(Required) To take pictures or video of me/my child during my/their participation in any program, and that these may be used for training purposes.SignatureDate DD slash MM slash YYYY Friends and Family 5% Discount applicationDid you know? If you are registering an additional child from your family or make a referral that also registers in one of our programs in the same session, both members may qualify for a 5% discount on your class fees* I understand that I must enter my additional registration within 24 hours to qualify for the referral discount. If my additional registration does not come in within 24 hours, I will be billed the difference. *Applies only to class fees, not other items such as yearly membership, gym apparel, etc. This is my only registration or I do not qualify for the friends and family discount. I would like to apply for the Edmonton Acrobatic Gymnastics Multiple Child Discount Friends and Family Member ApplicationPlease enter the friend or family member's name that is being used to get your discount. Note that if this additional individual is not registered for the same session or season, you will be required to pay the 10% difference granted prior to starting your first class or your registration may be cancelled.Friend or Family Member Name(Required) Pricing and Registration VerificationPlease review your pricing belowRegistered Class Monthly Class FeeFriends and Family DiscountGSTMonthly Payment TotalFirst PaymentThis is the amount that will be charged upon registration.CouponIf you have a coupon code or credit you would like to apply, enter the code here. First Month Class FeeThis is the class fee for your first monthFriends and Family DiscountOne time registration feeA once per season processing fee of $35.00 + GST will be charged. You only need to be charged this fee once per season per athlete and do not need to pay it again for future registrations between July 1, 2022 and June 30, 2023 GSTCoupons/CreditsHiddenTotal CalculationHiddenTotalZeroHiddenTotalGTZeroTotal Payment DueTotal Membership Number Payment InformationAmount Due Today (Product) Price: $ 0.00 CAD Monthly Payment Total (Product) Price: $ 0.00 CAD Amount Due TodayMonthly PaymentFirst Recurring Payment Date Number of future payments Billing Address(Required) Same as Participant Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Credit Card(Required) MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged.