2022 - 2023 SMOKY MOUNTAIN GYMNASTICS - RELEASE &WAIVER FORM Release of Liability Waiver: FOR ANY STUDENT AND PARENT PARTICIPATING IN A GYMNASTIC ACTIVITY: By the very nature of the activity, gymnastics &cheerleading carries a risk of physical injury. No matter how careful the gymnast and the coach are, no matter how many spotters are used, no matter what height is used or what landing equipment, the risk cannot be eliminated. The risk of injuries includes minor injuries, such as bruises, and more serious injuries, such as broken bones, dislocations and muscle pulls. The risk also includes catastrophic injuries such as permanent paralysis or even death from landings or falls on the back, neck or head. Gymnastics &cheerleading, or any activity that involves motion, rotation, and height in a unique environment, carries with it a reasonable assumption of risk. Smoky Mountain Gymnastics/Perpetual is bound by law to inform all participants and their parents or guardians of the risk involved in the activity of gymnastics. Anyone participating in the Smoky Mountain Gymnastics/Perpetual or cheerleading programs (along with those legally responsible for the participant) must sign the notice on the application and must adhere to the safety rules governing the gymnasium. These rules are posted inside and outside the gymnasium, and a copy is sent with every confirmation letter. In consideration for Smoky Mountain Gymnastics/Perpetual and cheerleading program acceptance of the applicant, and in consideration of the applicant's opportunity to improve gymnastic sk ills through the use of the staff, equipment and facilities, those legally responsible for the named enrolling student realize the risk of injury involved and hereby agree to assume the responsibility of such for said student and further agree to save and hold harmless the said school, its employees, and all others concerned, and to indemnify them against loss, intending to be legally bound, our signature is offered below. I hereby grant to Smoky Mountain Gymnastics/Perpetual Motion and/or its legal representatives and assigns, the irrevocable, absolute, and unrestricted right to use and publish the likeness, portraits, photographs, film or videos of my child, or in which my child may be included, for advertising purposes. I hereby release Smoky Mountain Gymnastics/Perpetual and its legal representatives and assigns from all claims, royalties, and liability relating to the use of said likeness, portraits, photographs or films/videos. Registration: is accepted by PDF email, fax, USPS mail, or in person. *Classes must be paid in full to hold your space in the classes of your choice. *No child will be permitted in class without full payment and a signed registration form. Monthly payments can be made through Electric Funds Transfer from your checking account, or by check or credit/debit card. *You may register for a class any time during the month. The fee will be prorated for the following months tuition payment. Please read the tuition and enrollment policies carefully. There is a $25 charge issued on each check returned from the bank for any reason. Refund Policy: Smoky Mountain Gymnastics has a 'one month' satisfaction guarantee. The total tuition payment for the 'first' 4 weeks of classes will be ref unded if customer satisfaction is not met. A signed 'request for refund' form must be presented to the instructor before or on the day of the 4th class. No refunds will be issued 'after' the fourth class. The registration fee is applied to immediate expenses before children step into the gym, therefore, this fee is non-refundable. Wecan not issue refunds or credits for missed classes. Each spot in the class insures that the instructor and expenses for that class are met. Prices are set by the spot reserved, not by the actual attendance. Make-up policy: You may have ONE make up per month at Smoky Mountain Gymnastics. To ensure that each class will not be disrupted or overloaded please call and schedule your make-up class. There are no credits or refunds for missed classes. Limited to one makeup per 4-week session if available. General Policies: Every child under the age of 3 years must be accompanied by a parent or caregiver. Baby siblings are not permitted in the class with the parent or caregiver. Parents (other than Baby and Meclasses), guests, and siblings are not permitted in the gym during the scheduled child's class for any reason. This is an insurance regulation. Guests, sibli ngs and parents must wait in the waiting room area. *Fees and class schedules subject to change without notice. All collection costs will be charged to any past due account. Also, interest charges of 2% per month will also be added until obligations are met. nd Late Payment Fee: SMG Tuition is due by the 2 week of each month. A $10 late fee is charged 15 th day of the month for 'each' past due class tuition. Withdrawal Policy: Any child may withdraw or transfer from any 'class' with a signed 'withdrawal/transfer form'. Perpetual Motion requires a 30 day 'written, withdrawal notice'. This form must be signed by both the parent and any Perpetual Motion s taff member with a verification copy going to each. Please note the day of notification and the day of the final class on the form. Tuition, by this signed contract above, will be due during the 4-week notification period. Wedo hope your child will attend his last four classes before his/her withdrawal date. An automatic notice is put in after the four non-notice class absences. This means eight weeks of classes are due and payable to any parent who leaves the program without proper notice. No parent will be charged for more than eight consecutive absences. Smoky Mountain Gymnastics staff must know who is attending each class. I have read the Release &waiver form, I also understand all policies, procedures, &tuition payment options. Parent/Guardian Signature: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ I hereby give my permission to trained medical professionals to administer emergency medical treatment to my child should an