Registration

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If any member of your family has ever been enrolled at Hart Gymnastics Academy, please do NOT utilize this registration form. Instead, contact our office so that we may assist you in registering for class. Thank you!

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Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
(Emails are kept confidential)
Student #1
(format=mm/dd/yyyy)
Additional Info
Required Policies and Agreements
I understand that my child is registered for participation at Hart Gymnastics Academy. I am aware of the policies above and freely accept them as terms and conditions for participation. I intend this registration/release form to take immediate effect as a binding legal agreement between Hart Gymnastics Academy and myself.

Proper attire must be worn to participate in classes at Hart Gymnastics Academy. We encourage leotards/compression shorts for girls and athletic wear for boys. Please no buttons, snaps, zippers, or restrictive clothing. Long hair should be secured out of your child's face and jewelry should be removed.

Only children currently enrolled in classes are allowed to go beyond the knee wall in the lobby during his/her designated class time.

Parents, siblings, and other visitors are always welcome to stay in designated areas to observe class. Parents, siblings, and other visitors are not, at any time, for any reason, permitted into the gym area or on the matting/equipment.

Please do not talk to or otherwise distract your child during class. Any interruptions could result in serious injury to class participants.

Any child participating in classes must be able to enter the gym area and remain in class by him/herself. Children that are unable to do so may be asked to observe class until comfortable enough to fully participate.

I give full consent for myself and my children to participate in all programs and activities offered by Hart Gymnastics Academy. I understand the nature of the activities and believe myself and my children to be qualifies, of sound health of mind and body, and in proper physical condition to participate in such activities.

I understand that the activities of gymnastics, Ninja Zone, cheerleading, tumbling, trampoline, and aerial arts involve height and rotation of the body; therefore, they carry risk of physical injury. Regardless of the safety precautions taken, that risk can never be fully eliminated. I understand and willingly accept that risk.

I hereby and forever release Hart Gymnastics Academy, its officers, agents, employees, and volunteers from any claim arising from my child's participation in activities conducted by Hart Gymnastics Academy.

I authorize Hart Gymnastics Academy, its employees, volunteers, and representatives to seek medical attention for myself and my children at the nearest medical facility in the case of an emergency.

I grant to Hart Gymnastics Academy, LLC, the right to take photographs/videos of me and my family in connection with events or classes in which I or my children participate. I agree that Hart Gymnastics Academy may use such photographs/videos of me and my family without names and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

All families are required to keep a valid credit or debit card on file. Monthly tuition payment is automatic via your payment method on file. Tuition charges will be made on the 20th day of the preceding month. Tuition may also be paid in cash or check prior to the 20th of the month to avoid automatic charges to the payment method on file. We will make continued attempts to collect any declined charges past the 20th. Declined payments must be remedied by the 1st of the month to avoid losing your child's space in class. Returned checks will be charged a $25 service fee.

I authorize Hart Gymnastics Academy to initiate charges to my credit card on file for payment of membership and tuition for classes at Hart Gymnastics Academy. I understand that that this authorization is to remain in full force and effect until Hart Gymnastics Academy has received written notification from me or its termination, in such time and such manner as to afford Hart Gymnastics Academy a reasonable opportunity to act on it.

Monthly enrollment is automatic. To avoid enrollment and related charges to your account, please notify us before the 20th of the current month if you do not wish to return the following month. This notification must be received in writing, using our Drop Notice form available at our front desk.

Your tuition payment holds your child's space in his/her class. As a courtesy, Hart Gymnastics Academy offers make-ups for missed classes when space is available in another class of the same skill level. Missed classes must be made up in the month that the class was missed, make up opportunities will not roll over to following months. You must register in advance for all make-ups. Open class spaces are often limited; while we make every effort to extend make up opportunities, we are unable to guarantee there will be make opportunities for missed classes.

I Agree to All of the Above
Questions or Concerns
Payment Information
Credit Card