Register Class Registration 1 Session Information2 Class Selection3 Athlete Information4 Contact Information5 Parent/Guardian6 Assumption of Risk7 Privacy Agreement8 Membership and Discounts9 Session January 3, 2020 to February 28, 2020 *** Important Gym Closures (NO CLASSES) Friday, January 10, 2020 - Edmonton Acro Hosting Course Thursday, January 16, 2020 - Coaches at Junior Olympic Athlete Training Camp Friday, January 17, 2020 - Coaches at Junior Olympic Athlete Training Camp Friday, February 14, 2020 - Coaches at Pegasus Classic Competition Friday, February 28, 2020 - Coaches at Strathcona Gym Challenge Competition First day of Classes: Wednesday Classes: January 8, 2020 Thursday Classes: January 9, 2020 Friday Classes: January 3, 2020 Last day of Classes: Wednesday Classes: March 4, 2020 Thursday Classes: March 5, 2020 Friday Classes: February 21, 2020*Note: Class pricing does not include required Alberta Gymnastics Federation membership. $65.00 will be added to your first registration for each athlete in a gymnastics season (July 1, 2019 - June 30, 2020) You will have the option later to specify if you have already paid for this membership with us or another member club this season. Class Selection*Listed prices are for a full session. Reduced pricing for registering after a session starts will be calculated at checkout time. FULL Classes: NONEWin1: Super Fliers - (Ages 4-6) Fri 4:00pm-4:45pmWin1: Super Heroes - (Ages 3-5) Fri 4:00pm-4:45pmWin1: Beginner Acro - (Ages 6+) Wed 4:30-5:30Win1: Intermediate Acro - (Ages 6+) Wed 4:30-6:00Win1: Advanced Acro - (Ages 6+) Wed 4:30-6:00Win1: Beginner Acro - (Ages 6+) Wed 6:00-7:00Win1: Intermediate Acro - (Ages 6+) Wed 6:00-7:30Win1: Advanced Acro - (Ages 6+) Wed 6:00-7:30Win1: Beginner Acro - (Ages 6+) Thurs 3:30-4:30Win1: Intermediate Acro - (Ages 6+) Thurs 3:30-5:00Win1: Advanced Acro - (Ages 6+) Thurs 3:30-5:00Win1: Tumbling and Conditioning - (Ages 8+) Fri 5:30-7:30Ages 3-5 (45 min per class) Fridays 4:00pm-4:45pm - 5 classes (45min / week) ** Note that this is a parent participation class. Each athlete registered in the Super Hero program must have a responsible adult with them at all times during class. $80 + GST NOTE: Friday classes have 3 gym closures this session. Please confirm class dates before arriving.Ages 4-6 (45 min per class) Fridays 4:00pm-4:45pm - 5 classes (45min / week) $80.00 + GST NOTE: Friday classes have 3 gym closures this session. Please confirm class dates before arriving.Ages 6+ (60 min per class) Wednesdays 4:30pm-5:30pm - 8 classes (1h / week) or Wednesdays 6:00pm-7:00pm - 8 classes (1h / week) $165.00 + GSTAges 6+ (60 min per class) Thursdays 3:30pm-4:30pm - 8 classes (1h / week) $165.00 + GSTAges 6+ (90 min per class) Wednesdays 4:30pm-6:00pm - 8 classes (1.5h / week) or Wednesdays 6:00pm-7:30pm - 8 classes (1.5h / week) $250.00 + GSTAges 6+ (90 min per class) Thursdays 3:30pm-5:00pm - 8 classes (1.5h / week) $250.00 + GSTAges 8+ (120 min per class) Fridays 5:30pm-7:30pm - 5 classes (2h / week) $205.00 + GST NOTE: Friday classes have 3 gym closures this session. Please confirm class dates before arriving.Tumbling Prerequeisites*Our tumbling program is not designed for beginners and has some basic requirements. Note that if your child does not meet these requirements, our beginner Acro program also contains a tumbling component and would allow us to provide more direct attention to prepare your child for a tumbling focussed program. If you are unsure if your child meets these requirements we can do an assessment during their first class. We can transfer them to our beginner or intermediate Acro program at that time. 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. Athlete InformationAthlete First Name*Athlete Last Name*Athlete Birth Date* Date Format: MM slash DD slash YYYY Please enter the Athlete's data of birth. (MM/DD/YYYY)Genetic Gender*MaleFemalePrefer Not to AnswerMedical Conditions or ConcernsPlease let us know if there are important medical conditions or concerns the coaches should be aware of. eg. Asthma, extreme allergies, etc. Contact InformationContact Email* Athlete Address* Mailing Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Contact Consent* I agree. 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. Parent / Guardian InformationParent/Guardian Name(s)*If you are over 18, please enter your name here.Parent/Guardian Primary Phone*Please enter the primary number you would like us to contact you on if we need to get a hold of you for important class information such as class cancellations.Parent/Guardian Primary CellPlease enter the primary number you would like us to TEXT you on if we need to get a hold of you for important 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 Primary Phone Notification and Assumption of RiskNOTIFICATION AND ASSUMPTION OF RISK, CONSENT TO FIRST AID TREATMENT, AND RELEASE OF LIABILITY AND WAIVER OF CLAIMS Gymnastically Inclined Inc. o/a Edmonton Acrobatic Gymnastics (the “Gymnastics Club”) Gymnastics Club’s Programs are defined and include all multiple gymnastics related activities, including, but not limited to, the following: Recreational / Gymnastics For All; Women’s and Men’s Artistic; Competitive Trampoline and Tumbling; Acrobatics; Birthday Parties; Drop-in Sessions; Cheerleading; as per AGF guidelines Urban Gymnastics (Parkour) and Circus Training; as per AGF guidelines General acrobatics and fitness; and Similar activities (Hereinafter collectively referred to as the “ACTIVITIES”). DESCRIPTION OF RISKS: I am aware that the ACTIVITIES involve inherent risks, dangers and hazards, both known and unknown, that are associated with unique movement patterns and skills, which may, in some circumstances be executed on specialized apparatus. I understand that similar risks are also inherent in using equipment associated with the ACTIVITIES, and any other devices, apparatus or attractions present at the facility. I understand the risk of negligence on the part of the Gymnastics Club and its employees, volunteers and representatives, including the failure on the part of same to take reasonable steps to safeguard or protect the participants from the risks, dangers and hazards, both known and unknown, of participating in the ACTIVITIES. I acknowledge that personal harm or injury may be sustained during my/my child’s involvement in the ACTIVITIES, including, but not limited to, broken bones, head / neck injuries, concussion, dislocations, tendon and ligament damage (including sprains), damage to teeth and dental work, spinal injuries (that could result in various degrees of paralysis), and death. I acknowledge and assume the potential risks and consent to my/my child’s participation in the ACTIVITIES. CONSENT TO PARTICIPATION: I/my child have/has been informed that I/he/she is to abide by the rules and regulations including directions and instructions from the administrators, instructors, coaches, and supervisors as imposed on me/my child while participating in the ACTIVITIES. In the event that I/my child fails to abide by the rules and regulations imposed on me/my child while participating in the ACTIVITIES, disciplinary action may either require that I/he/she not participate in the ACTIVITIES, or that I will leave/be contacted to have my child picked up or transported home at my own expense. I acknowledge that I/my child am/is in good health, and in proper physical condition to participate in the ACTIVITIES, and I acknowledge it is my responsibility to notify the staff of any physical or mental concerns for me/my child which may affect my/my child’s participation in the ACTIVITIES. I acknowledge that the ACTIVITIES may require an instructor, coach, employee or supervisor to perform some manual spotting which involves direct physical contact with me/my child and designed to assist the participant in the safe performance of the program skills, and I consent to same. RELEASE OF LIABILITY AND WAIVER OF CLAIMS: I confirm that I have read the above description of risks and understand the risks involved in participating in the Gymnastics Club’s program and ACTIVITIES. I confirm that I voluntarily and freely accept all such risks and choose to participate/allow my child to participate in the Gymnastics Club’s program and ACTIVITIES. I accept full responsibility for my own/my child’s actions. In consideration of being allowed to participate in the Gymnastics Club’s program and ACTIVITIES, I hereby agree as follows: To waive any and all claims that I have or may have in the future against, and to release and discharge from any and all liability, the Gymnastics Club, it’s directors, officers, employees, consultants, agents, contractors, volunteers, and representatives, and their respective successors and assigns, or any of them in connection with or participation in the Gymnastics Club’s program and ACTIVITIES (collectively, the “Releasees”), for any and all of the following: Personal injury; Death; Property damage; and/or Any other loss, damage or expense, arising from any cause whatsoever, including negligence (including, but not limited to, negligence caused by my own actions or inactions, those of others participating in the ACTIVITIES, the conditions in which the ACTIVITIES take place, or negligence of the Releasees), breach of contract, or breach of any statutory duty or other duty of care, on the part of the Releasees, and further including the failure on the part of the Releasees to take reasonable steps to safeguard or protect me from the risks, dangers and hazards of participating in the Gymnastics Club’s program and ACTIVITIES. I further agree to indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage or cost which any may incur as a result of a claim, brought by myself or anyone on by behalf, against any of the Releasees. AUTHORIZATION OF FIRST AID IN CASE OF EMERGENCY AND INDEMNIFICATION OF COSTS: I hereby authorize basic first aid to be delivered to me/my child by the Gymnastics Club’s staff or other authorities. By administering first aid when required or requested, the Gymnastics Club in no way warrants or assumes any liability in relation to the administration of such basic first aid. I further understand and agree that, in the case of an emergency, the Gymnastics Club assumes no responsibility or obligation relative to any cost or expense related to carrying out an emergency procedure and/or emergency transportation for me/my child and I agree to pay for such costs and expenses and shall indemnify and reimburse the Gymnastics Club for any such costs or expenses that it incurs. I confirm and agree that this Notification and Assumption of Risk, Consent to First Aid Treatment, and Release of Liability and Waiver of Claims shall be governed by the laws of the Province of Alberta. I confirm and agree that if any portion of this Notification and Assumption of Risk, Consent to First Aid Treatment, and Release of Liability and Waiver of Claims is found to be void and unenforceable, the balance, notwithstanding, shall continue in full force and effect. I CONFIRM THAT I HAVE READ AND UNDERSTAND THIS LEGAL AGREEMENT, I AGREE TO BE BOUND BY ITS TERMS, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS AGAINST THIS GYMNASTICS CLUB INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT.Consent* I agree to the the above notification and assumption of risk*Signature* 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* 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* 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* 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.Signature* Annual Membership FeeTo participate in our programs, each athlete must have an annual Alberta Gymnastics Federation membership. This is a yearly membership valid from July 1, 2019 - June 30, 2020 Alberta Gymnastics Federation Yearly Membership of $65.00 (61.90 + GST) including administration costs. If you have already purchased a membership for July 1, 2019-June 30, 2020 through Edmonton Acrobatic Gymnastics or another AGF member, please check the box below to avoid being charged again.Membership Fee I have already purchased a 2019-2020 membership for the athlete in this registration. Please do not charge me. I will provide a proof of purchase prior to starting my first class. Friends and Family 10% Discount application*Did 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 10% discount on your class fees* I understand that I must enter my additional registration within 24 hours to qualify for the referral discount. *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 Gymanstics Multiple Child DiscountFriend or Family Member Name*Please 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, you will be required to pay the 10% difference granted prior to starting your first class. PaymentPlease review the pricing belowClassClass FeeFriends and Family Discount Price: $ 0.00 CAD Membership Price: $ 61.90 CAD GST Price: $ 0.00 CAD Total $ 0.00 CAD Billing Address* Same as Athlete Address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Credit Card* MasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name CAPTCHA
