Twin City Twisters Gymnastics Online Registration

Registration

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All Enrollments are considered pending until we have reviewed your registration, prorated and/or applied applicable discounts and posted fees due. Credit cards/bank accounts are NOT charged at this time.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name*

Family Information

Child Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Additional Info

Emergency Contact Info

Health Insurance Carrier

Contact #1

Parent/Guardian First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Who is your employer?

Employer

Employer Phone

Employer Notes

Contact #2

Parent/Guardian First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Assumption of Risk

Any parent or guardian must read and understand the following, as it applies to any and all children you, as the legal parent or guardian are responsible for, who participate in any and all activities at Twin City Twisters Gymnastics. Serious injury may result from improper conduct of this activity. I have instructed my child to follow directions. I give permission to Twin City Twisters Gymnastics and/or an appropriate medical facility to make whatever emergency (e.g. first aid, disaster evacuation) measures as judged necessary for the care and protection of my child while under the supervision of Twin City Twisters Gymnastics. In case of a medical emergency, I understand that my child will be transported to an appropriate medical facility by the local emergency unit for treatment if the local emergency resource (police, Rescue Squad) deems it necessary. The child will be transported at my expense. It is understood that in some medical situations, the staff will need to contact the local emergency resource before the parent, child's physician, and/or other adult acting on a parent's behalf.

I've read the above and agree.

Release of Liability

I fully disclaim, waive, and discharge Twin City Twisters Gymnastics, their instructors, and directors from all claims with regard to any personal injury that may be incurred by my child during this class/party. My child is in good physical health, and there are no medical conditions which would limit his/her participation in class. I also understand that adults are not allowed in the gym(s) unless accompanied by a TCT staff member and have signed a release. ADULTS ARE NEVER ALLOWED ON ANY EQUIPMENT.

I've read the above and agree.

Payment Policies

REGISTRATION AND PAYMENT POLICIES
• Registration will begin two or more weeks prior to the start of summer and school year sessions, with priority first to those currently in class.
• If a class has started, you will be registered immediately and attend the next scheduled class. Your first partial month will be prorated accordingly.
• TCT requires 3 or more registered students in a class in order to run the class.
• Payment Information - Full payment is due at the time of registration.
• Tuition fees will be posted and charged to accounts on the first of each month.
• There will be a $25.00 late fee applied to each month that a balance remains unpaid after the 5th.
• To discontinue enrollment in class(es) you must let the office know via email (tctwithdraw@gmail.com) by the 15th of the month prior.
• We do not give refunds or credits for dropped or missed classes after the 16th of the month prior.
• We may cancel a class with fewer than 3 students at any time and help you find another time that will work for you.

I've read the above and agree.

Late Pick-up Policy

If your child is left at the gym without a ride:

We will have them try to call their parents.

If you can't be reached, and it is 15 minutes past the end of the last class, we will call the emergency number listed on the back of your registration card.

If we can't reach anyone to give the child a ride after 20 minutes past the end of the last class, we will call the police and have them come and get the child. The police will contact you.

Please remember to pick your children up promptly after class.

Please be mindful of your child's class ending time. A late parent pick up fee will be added to your account the next time this occurs. Thank you for your understanding.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

Please fill out CREDIT CARD Payment Method

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number