Online Registration Form

Registration Form

Athlete Name *

First

Last

Names of Parents or Legal Guardian *

Address *

Province *

City *

Postal Code *

Please Choose One *

Male Female

Date of Birth - MM/DD/YY *

Phone Number *

Email *

Alberta Health Care Number *

Any Previous Injuries? *

Yes No

Family Doctor *

If yes please explain *

Allergies or Medical Concerns? *

Yes No

If yes please explain *

Comment *

Please Select Class & Preferred Time
Please select the class you wish to enroll in.

Program Session *

Pre-School P & T Classes *

Pre-School Classes...Select One *

Mixed Boys & Girls Cangym *

Girls Cangym Ages 5+...Select One *

Boys Cangym Ages 5+...Select One *

Rec-Trampoline...Select One *

Day of the Week *

Class Time *

Total Class Cost - Please Add AGF Membership Fee *

Method of Payment

Which payment method will you be using? *

Credit Card

Payment can be made at the Gym
or you can enter your credit card information below.
We Accept...

AGF Fee Extra - $25.00 (Annual Membership & Insurance Fee)
Please note...registration is not complete until payment is received.

Credit Card Number *

Choose One *

Visa Master Card

Expiration Date *

Expiration Year *

Comment *

Waiver and Assumption of Risk Agreement

*Please Read Carefully.

By signing this document you will waive certain legal rights including the right to bring forth legal action against West Wind Gymnastics Club, it's Volunteer Board of Directors, Coaches and Staff:

I understand that Gymnastics and similar activities involve inherent risks, dangers and hazards that are associated with unique movement patterns and skills, which may, in some circumstances be executed on specialized apparatus. I acknowledge that personal harm or injury may be sustained during my child's involvement in the activity and declare that I accept full responsibility for his or her safety. I understand clearly that by signing this form I acknowledge the potential risks and consent to my child's participation in the following:

Digital Signature(*Please read carefully before filling out the Digital Signature)

I have read the Waiver and Assumption of Risk and clearly understand this form is waiving me of certain legal rights as mention above *

Yes No

*By typing your name(s) in this field and the date in the date field below and pressing the Submit Registration button below, you are attesting to the fact that you are the person(s) named in the Registration data contained in the fields above and that the information you have submitted is true and accurate to the best of your knowledge. It also means that you are giving your child permission to attend West Wind Gymnastics Club.

Click Yes if you understand above statement in Red. *

Yes No

Digital Signature - Name of parent or legal guardian *

First

Last

Date - MM/DD/YY *

Registration Form

Winter Session - Dec 12, 2011Gym Club closed * Dec 24 to Jan 6, 2012Gym Club opens * Jan 7, 2012 (Sat)

Winter Session - Dec 12, 2011

Gym Club closed * Dec 24 to Jan 6, 2012

Gym Club opens * Jan 7, 2012 (Sat)