Apex Gymnastics Of Almaden Online Registration

Registration

Already a customer? Click here to login.

Welcome to Apex Gymnastics of San Jose online registration!

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Additional Info

Emergency Contact Info (Who should we contact, other than the contact listed above?)*

Health Insurance Carrier*

Contact #1

Contact #1 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

Contact #2 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 District*

Special Needs*

Allergies*

Medications (Leave blank if NONE)

Primary Doctor*

To register for a trial class, please complete the online registration. Apex staff member will contact you via phone/email within 1-2 business days to schedule your trial class. Our trial class fees range from $10 - 25 a class depending on the class level.

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 District*

Special Needs*

Allergies*

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 District*

Special Needs*

Allergies*

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 District*

Special Needs*

Allergies*

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 District*

Special Needs*

Allergies*

Medications (Leave blank if NONE)

Primary Doctor*

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Welcome

Welcome to Apex Gymnastics classes at Home! Thank you for your continued participation and we hope your gymnasts continue to work hard on their conditioning both during classes as well as on their own. These classes are designed to maintain the student's conditioning and flexibility. They are also designed to prepare for skills specifically at their level. For these classes, we break down each skill and focus on the key elements of body position. Upon your completed enrollment in the class, you will have access to the link and password for the Zoom class in your Parent Portal under the Class Card.

These classes are open for our members and we welcome new clients as well.

I've read the above and agree.

Assumption of Risk

In consideration of participating in any class or activity at Apex Gymnastics LLC (Apex Gymnastics of Almaden) I represent that I understand the nature of this Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the activity. I fully understand that this Activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the "releasees" named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, cost, and damages I incur as a result of my participation in the Activity.

Release of Liability

I hereby release, discharge, and covenant not to sue Apex Gymnastics LLC (Apex Gymnastics of Almaden) its respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "RELEASEES" herein) from all liability, claims, demands, losses, or damages, on my account caused or alleged to be caused in whole or in part by the negligence of the "releasees" or otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost, which any may incur as the result of such claim.
I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.

By agreeing to this I understand that even if I am not participating in gymnastics, cheer, dance, lessons and will not be on the equipment, I may injure myself being in the gym. This could include, but is not limited to stepping off uneven mats and twisting an ankle, broken bones, torn ligaments, spine injuries or even death. I take full responsibility for my actions and agree to pay for any and all medical bills that might arise from an accident at Apex Gymnastics LLC (Apex Gymnastics of Almaden). Should any part or parts of this agreement be held null and void, the gross balance of the gross agreement shall remain valid and maintain its full force and effect. This acknowledgment of risk and WAIVER OF LIABILITY has been read by me and understood completely and signed voluntarily. I am 18 years of age or older.

I've read the above and agree.

Auto-pay Monthly Authorization

I authorize Apex Gymnastics LLC (Apex Gymnastics of Almaden) to charge my credit/debit card upon enrollment into Apex Gymnastics classes at Home program.

- I understand that for ongoing classes my credit/debit card will be charged on the first Monday of each monthly session unless the first Monday of monthly session falls on a holiday and then it will be charged on the following business day.
- I authorize Apex Gymnastics to make adjustments in my automatic payment if my child's class status/rate changes. I understand that any tuition changes resulting from changes in the number of classes or class level will be automatically reflected in these monthly session payments.
- I understand that my account will continue to be debited until such time as Apex Gymnastics receives written notification of the termination of my child's enrollment in the program. It is my responsibility to email the front office (info@apexgym.net) before the end of the last business day of the CURRENT session so that my billing information on file does not get charged.
- I understand that a $10 late fee will be applied to accounts returned unpaid, closed, payment stopped, not honored or expired.
- I understand there are no refunds given. I understand it is my responsibility to check my monthly bank/credit card statement and report any corrections immediately to Apex Gymnastics, including but not limited to changed account numbers and new expiration dates.

I've read the above and agree.

Photo/Video Release

I am aware that individual and group publicity photos and videos are taken from time to time and in consideration for my children's participation, I hereby grant my permission for my child's likeness to be used in Apex Gymnastics of Almaden (Apex Gymnastics) publicity or advertising. If you are not comfortable with your child's picture being used please inform our office staff.

I've read the above and agree.

Class Policy:

Please log in 5 min before the start time so we can start on time.

Class Attire: please ensure your gymnast is wearing a leotard/shorts/t-shirt/tights and their hair is secure away from their face (such as a ponytail). No food/eating during our online class.

Parent Supervision:

Preschool: We require a parent to be with their gymnast at all times during our class
Recreational/Team: We ask for at least one parent per group to be present through the entire class workout

It would be very beneficial if you log in to the Zoom meeting with you child's name and class level, so the instructors can engage directly with you gymnast by name.

Disclaimer: Please help ensure your gymnast is practicing in an open and safe area, away from any furniture or other people in order to avoid injury. Your gymnast should have plenty of open space to participate in our class. Large objects including furniture should be far away, enough to ensure safety and avoid injuries. Remember to do only as much as you can at your own pace while following our classes.

I've read the above and agree.

To Cancel Enrollment

Apex Gymnastics operates on a continual registration cycle, meaning that your child is automatically re-registered for each new monthly session.

Please email info@apexgym.net before the last business day (Saturday) of the CURRENT session that you would like to cancel the class for the following session.

I've read the above and agree.

Parent/Guardian Signature

I have read and understand the above WELCOME, Auto-pay Monthly Authorization, ASSUMPTION OF RISK, RELEASE OF LIABILITY, PHOTO/VIDEO RELEASE, Class Policy, and TO CANCEL ENROLLMENT. In addition, I confirm that I am the parent/legal guardian of this registrant(s).

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

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*