Vermilion Parish Gymnastics & Cheer Gym
firstname.lastname@example.org Call Us: (337) 523-9227
To register for classes please indicate the days of the week that are most convenient by rating 1-5:
Please indicate the time of the afternoon that will best suit your needs by rating 1-6:
Tumbling classes:(ages 3-12) Please indicate your child’s experience in gymnastics by checking the appropriate skill level based on these criteria:
Cheer class: (Ages 10+) Please indicate your child’s experience in gymnastics by checking the appropriate skill level based on these criteria:
**Please note that we will do the BEST possible job at accommodating the majority of students registering. Classes are first come, first serve.**
Registration fee per child-$50/Spring-FallRegistration fee per family (multiple children)-$75/Spring-Fall
Discounted rates offered for paying months in 3 month increments or by the semester!
Tumbling class (children age 3-12) for 1 hour = $65/child/month 1st additional sibling-$55, 2nd + additional siblings-$50
Cheer class (children age 10+) for 1 hour = $65/child/month
1st additional sibling-$55, 2nd + additional siblings-$50
In Case of Emergency
(old injuries, specific body issues, weaknesses, physical impairments, etc)
Chronic Ailments: (check all that apply)
Allergies(check all that apply)
Accident/health insurance information(THIS MUST BE FILLED OUT!):(WE WILL NOT PLACE YOUR CHILD IF YOU DO NOT FILL OUT THIS SECTION!)
I hereby give permission for images of my child captured during regular and special activities through video, photo, and digital camera, to be used solely for the purposes of Southwest Louisiana Tumble & Cheer promotional material and publications, and waive any rights of compensation or ownership thereto. This pertains to website, Facebook and/or print out publications.
SWLA tumble & cheer offers cash or check for payment of fees for all tumbling classes. Ask about discounted rates for paying in advance!
Cancellation Policy: I am aware that I must notify the office in writing or email to withdrawal my child from SWLA tumble & cheer as of the 20th of the month prior to the month of cancellation. If this notification is not received by this date, my account will be charged/billed for the following month. Upon cancellation, participation in programs at SWLATC is suspended as of the end of that pay period/month. To resume participation after cancellation, registration fees will be reassessed.
By my signature, I am in agreement with the points mentioned in this payment agreement and will honor this agreement for the duration of my child’s participation in this activity at SWLATC. ALL refunds are made at the discretion of Southwest Louisiana Tumble & Cheer management.
Southwest Louisiana Tumble & Cheer Waiver and Release of Liability, Assumption of Risk, and Indemnity Agreement
In consideration of participating in programs at Southwest Louisiana Tumble & Cheer LLC, 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 this 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.
I hereby release, discharge, and covenant not to sue Southwest Louisiana Tumble & Cheer LLC, its respective administrators, directors, staff, volunteers, any other employees, other participants, any sponsors, advertisers, and if applicable, owners and lessors of premises on which the activity takes place, (each considered the RELEASEES herein) from all liability, claims, demands, losses, or damages, or otherwise, including negligent rescue operations and 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 may incur as the result of such claim.
Tumbling camps are offered periodically throughout the year, and are designed for children of all ages and skill levels. Please check our camp/clinic section for upcoming camps!
Private Lesson Registration
Private lessons are available year-round. They can be scheduled weekly if schedule permits and also periodically based on needs. Please email: Kristin@swlatc.com to schedule your lesson after submitting this form.
**We sometimes experience form submittal problems. If you do not receive a confirmation email within 24 hours of registering, please email email@example.com or call (337)523-9227 immediately! We don't want to miss you. PLEASE NOTE THAT NEW STUDENTS REGISTERING FOR THE FALL/SPRING 2018 SESSION NEED TO EMAIL KRISTIN@SWLATC.COM AFTER FILLING OUT THE REGISTRATION PACKET TO BE PLACED IN A CLASS!**
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