Green Mountain Gymnastics, Inc.
240 Pioneer Drive, Williston, VT 05495
802-652-2454
Registration Form 2008/2009

Child's name:


 DOB:


Age:


   Male
  Female
Street:


 City:


ZIP:




Parents/Custodial parent or legal guardians:
Name:


Relation to child:


Home Phone:


Work Phone:


Cell Phone:


 Email:


Name:


Relation to child:


Home Phone:


Work Phone:


Cell Phone:


 Email:




Person responsible for the payment on this account:
Name:

Relation to child:

Address:

Home Phone:


Work Phone:


Cell Phone:


 Email:




Doctor's Name:


 Doctor's phone:


In case of emergency, please call (other than parent): Phone Relationship
Name:

   
Name:

   
PLEASE INFORM US OF ANY MEDICAL CONDITIONS OR ALLERGIES



Office use only:
R:

W:

R Ent:

Billed:

Green Mountain Gymnastics, Inc.
Registration Form (cont)

Please write the time of your chosen class, the date when your child starts and fill tuition information out completelly
 
Class Day (please circle) Class Time (write in class times)
Monday

 
Tuesday

 
Wednesday

 
Thursday

 
Saturday

 

 
Class &
Class length		 Tuition
every 4 wk billing session
Purple
45 min 1x wk		$  50.00
Green
1 hr once a wk		$  60.00
Red
1 hr twice a wk		$  95.00
Yellow
1.5 hr twice a wk		$125.00
Blue
2 hrs twice a week		$160.00
 
Tuition Due$
Tuition for
4 week billing cycle		  
Registration
Due annually
$35.00
SUB TOTAL

Sibling discount
10% off tuition only of 2nd child)

-$
Discount for pro-rated session

-$
TOTAL DUE


  
Class Start Date


  


* Please note parking for GMG is on the side of the building or in front of GMG only.
DO NOT PARK in front of the Entrance Door or other businesses!


Please initial each line:

__________ I have read and understand GMG 30 day written drop notification policy. If the 30 day written notification is not given, I am still responsible for my tuition payments until the end of the session (June 2009).

__________ I have read and understand that GMG does not mail invoices. I have a copy of the billing calendar and understand that if payments are made after the billing date, (as shown on the billing calendar), I will incur a $5.00 per child late fee each month.


I give ___________ I do not give___________permission for my child to be photographed during gymnastics activities. I do understand that these photos may be used for marketing GMG and its programs.

Signed:_____________________________________ Date:_____________________


I have read and understand the Rules and Policy book for Green Mountain Gymnastics and agree to abide by them.


Parents' signature____________________________ Date:____________________


Gymnast signature___________________________ Date:____________________

Green Mountain Gymnastics, Inc.
240 Pioneer Drive, Williston, VT 05495
Waiver/Release Form 2008/2009
No child will be allowed to participate in any programs unless this form is completely filled out, signed and filed with GMG prior to commencing participation

**READ THE FOLLOWING CAREFULLY AND SIGN BELOW.
NOTE; BOTH PARENTS/CUSTODIAL PARENT AND LEGAL GUARDIAN
MUST SIGN ON BEHALF OF EACH PARTICIPATING CHILD! **

Agreement
In consideration of my child's participation in Green Mountain Gymnastics Inc. (further referred to as GMG) events and activities, I hereby agree to be bound by each of the following terms and conditions:

  1. Eligibility: I agree to comply with the rules of GMG.
  2. Readiness to Participate: I will only participate in those GMG classes, events, competitions and activities for which I believe I am physically and psychologically prepared. Prior to participation, I will have practiced by exercise and will perform only those exercises, which I have accomplished to the degree of confidence necessary to assure I can perform them by myself and without injury.
  3. Medical Attention: I hereby give my consent to GMG and/or host Organization to provide, through a medical staff of choice, customary medical/athletic training attention, transportation and emergency medical services as warranted in the course of my participation in the event, except where such loss or damage is the result of the intentional or reckless conduct of one of the organizations or individuals identified above.
  4. Waiver and Release: I am fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis and even death, as well as other damages and losses associated with participation in gymnastics activities and events. I also release GMG of liability for anyone associated with this gymnast in the event of injury that may be incurred within GMG's premises.

I further agree that GMG and the sponsor of any GMG event, along with the employees, agents, officers and directors of these organizations, shall not be liable for any losses or damages occurring as a result of my/our child's participation in any GMG event or activity, except where such loss or damage is the result of intentional or reckless conduct on one of the individual (s) /organization (s) mentioned above.

INFORMATION: Primary Medical Insurance: I am covered by a primary health/medical/accident insurance through:

______________________________________________________________________________

For any athlete who is not yet 18 years old: As the legal parents, guardian or custodial parents of this athlete, I hereby verify by my signature below that I fully understand and accept each of the above conditions for permitting my child to participate in classes, events, competitions and activities conducted by GMG.

This waiver/ Release form shall remain in effect for as long as ______________________________ (name of Child) participates in any GMG activity until such time of written notice rescinding this waiver/ release is received by GMG.

Name of Child: _____________________________________________

Printed name of Both Parents/Legal Guardian(s), Custodial Parent(s):

_____________________________________     _____________________________________
Signatures of Both Parents/Legal Guardian(s), Custodial Parent(s):

_____________________________________     _____________________________________

Dated: ____/____/____

GMG 2008 / 2009 billing calendar
Payment 1 due Aug 30
Aug 31 - Sep 27
SuMTuWThFSa
31123456
78910111213
14151617181920
21222324252627
Payment 2 due Sept 27
Sep 28 - Oct 25
SuMTuWThFSa
2829301234
567891011
12131415161718
19202122232425
Payment 3 due Oct 25
Oct 26 - Nov 22
SuMTuWThFSa
2627282930311
2345678
9101112131415
16171819202122
Payment 4 due Nov 22
Nov 23 - Dec 20
SuMTuWThFSa
23242526272829
30123456
78910111213
14151617181920
2122232425 2627
Payment 5 due Dec 20
Jan 4 - Jan 31
SuMTuWThFSa
282930311 23
45678910
11121314151617
18192021222324
25262728293031
Payment 6 due Jan 31
Feb 1 - Feb 28
SuMTuWThFSa
1234567
8910113121314
15161718192021
22232425262728
Payment 7 due Feb 28
March 1 - March 28
SuMTuWThFSa
1234567
891011121314
15161718192021
22232425262728
Payment 8 due March 28
March 29 - Apr 25
SuMTuWThFSa
2930311234
567891011
12131415161718
19202122232425
Payment 9 due Apr 25
Apr 26 - May 23
SuMTuWThFSa
262728293012
3456789
10111213141516
17181920212223
Payment 10 due May 23
May 24 - June 14
SuMTuWThFSa
24252627282930
31123456
78910111213
Dates closed
  Aug 31st and Sep 1st
  November 27th
  December 21st - 31st
  January 1st - 3rd
  May 25th
Important information
  • Payments are due on or before due date
  • Payments made after due date will be charged a $5.00 late fee per child
  • A 30 day written drop notification is required if dropping before end of session date (June 13th)

    •  

    GMG Rules and Policy Book 2008/2009
    For Gymnastics Programs

    Arrival of Class

    • Parking for GMG is located directly in front of our unit or along the side of the building. Please be respectful of the other tenants and do not park in front of the door or in front of the other businesses.
    • Please do your very best to be dressed and ready for class on time. The warm up is very important. We will not allow a child to participate in class if the warm up session is missed. Not only is proper warm up a safety concern, but it is also a time when the coaches will talk over the goals for that day and discuss what the gymnast will be working on.
    • No one is allowed on the gym floor until their coach calls them out to class.
    • Do not use the bathrooms for changing. We have 2 dressing rooms upstairs.
    • You must come into GMG to pick up your child after class is finished. I cannot allow anyone to leave the building without an adult. By coming in this also allow you to check out the bulletin board for any new notices that may be posted.
    • Please be prompt picking up your child. Our instructors need to be supervising classes and not lingering students.

    Closings

    • If there is any question regarding classes being cancelled due to weather, please call the gym. We will leave a message on the answering machine by 1:00 pm if classes are cancelled. If classes are cancelled due to a holiday schedule, we will post that notice on the bulletin board. Please make sure you are looking at the board every week.
    • Cancellations are also posted on our web site at www.GreenMountainGymnastics.com.

    Clothing

    • Girls must be dressed in leotards (please no skirts attached) and boys in T-shirts and shorts. Shorts cannot have buckles, zippers or snaps. T-shirts must be tucked in. We do sell leotards and other gymnastic apparel in our retail store. If girls wear shorts over leotard they must not be loose shorts.
    • No Jewelry except stud earrings.
    • All girls must have hair tied back and pulled away from their face.
    • All shoes are to be removed in the entryway of the gym and either put on the shoe rack or brought upstairs. The gymnasts are barefoot in the gym and we do not want dirt tracked onto the gym floor. Rain and melting snow makes for a slippery floor and can cause injury.

    Communication

    • We use the bulletin board in the front lobby area to post all notices. Please make sure you are checking them each time you come in. I use email to inform about upcoming meetings, special events, changes etc. You must make sure that we have your current email address.
    • The gym's phone number is 652-2454, email: Robin@GreenMountainGymnastics.com
    • All of our information is also posted on our web site: www.GreenMountainGymnastics.com

    Conferences

    • GMG coaches, instruct classes throughout the day. When one class finishes, another may be starting. If you would like to talk with your child's coach, please let us know and we will have them call you or arrange a conference.

    Drop Policy

    • We offer 2 sessions a year. A school year session (Sept-June) and a summer session (June-August). A $35.00 annual registration fee is due in September. Tuition is paid on a 4-week billing cycle for the school year session and a single payment for the summer session.
    • If you decide to withdraw from classes prior to the end of the session date, we do require a 30-day written notification. This will allow us time to fill that position within the class. Fees are never prorated. The registration fee is Non-Refundable but does last the entire year. If you stop in the spring and rejoin for our summer session, there are no additional registration fees.
    • Payment for the last 4 weeks is due when the drop notification is given. You must give written notification to Robin to include your last class date. A verbal notice to the instructor or a message on the answering machine is not considered written notification.

    Emergency numbers

    • It is extremely important that you update us whenever there is a phone number change. This is important especially if there is an injury. Please drop us a note and put it in the payment drop box so we can make those changes on your contact information or email us at Robin@GreenMountainGymnastics.com

    Food and Drink

    • No gum, candy, food or drink is permitted in the gymnastic areas. Food and drinks may only be consumed in the front lobby area. Please place water bottles along the front wall or in their cabbies. Water breaks are given during class time. We do have a water fountain in the lobby. Please be respectful of the gym and put trash in the wastebaskets. We ask that you clean up any spills that you may make. GMG also has a NO NUT/PEANUT POLICY due to children with severe allergies.

    Lost and Found

    • If anything is left behind after class, it will be put in the lost and found box. Every month this will be cleaned out and disposed of. We will not be responsible for lost or stolen items. Try to leave jewelry at home or put things in their duffle bag before class starts. This way, they have everything when they leave the gym!

    Make Up Policy

    • For gymnast ages 7 and above Make Ups are offered only in our Open Gym work Out Class on Saturday mornings. You must let us know in advance if you will not be able to make your regularly scheduled class.
    • For Gymnasts ages 2 to 6 Make Ups will be offered in our Tiny Tumblers Open Gym. (You will need to check the schedule on line at www.GreenMountainGymnastics.com.) You must let us know in advance if you will not be able to make your regularly scheduled class.
    • Only 1 Make Up is allowed during each billing session. If we are not informed of a class absence in advance, no make up can be given. You may still choose to attend the Open Gym Work Out class or the Tiny Tumblers Open Gym but you will be charged the walk in rate for that. Again, if you would like a make up for a missed class, you must let Robin know before the missed class otherwise you will be charged for the Open Gym you are attending.

    Payment of fees

    • An annual $35.00 registration fee is due upon registering your child to class in September. If you join sometime during our session, the registration fee will be pro-rated.
    • Our billing cycle is every 4 weeks and payments are due to the gym the last week of the previous session (see billing calendar). If you will be out that last week of class, please mail your checks so that your payment is received here on time. All checks should be made out to Green Mountain Gymnastics. Sorry we do not take Debit or Credit Cards!
    • Please write child's name and class in the memo field of your check so we are sure to apply the payment to the correct account.
    • There is a late fee of $5.00 per child for all payments received after the due date. (See billing calendar for payment schedules). Please understand that we simply need to have all payments at the beginning of each 4-week session because we also have financial obligations that are due.
    • If your tuition is overdue by more than 2 billing cycles, your child's enrollment will be terminated. We can no longer maintain large overdue balances on account. You will still be responsible for that outstanding tuition balance.
    • Thankfully bounced checks are rare, however, if you do make a mistake and write a check which is rejected by your bank, we will charge back to you any charges that we incur and an additional $20.00 insufficient fund fee. We also ask that you come in and pay the balance due and those fees immediately.

    Placement

    • Placement is done by age, strength and skill ability. If our coaches feel that during a session, it would be best for your child to participate in a different class, we will have that discussion with you. Our trained staff use safe and progressive teaching techniques recommended by USA-Gymnastics.

    Programs
    We offer a number of programs for gymnasts of all ages. Please check out our web site for schedules and more information on these programs. (www.GreenMountainGymnastics.com)

    • Kids Night Out (Friday nights through out the school year open to ages 6 and above, see schedule on-line)
    • Open Gym (Birth to age 6)
    • Open Gym Workout Classes (ages 7 and above)
    • Birthday Parties
    • Private Lessons
    • Tiny Tumblers-Preschool programs.
    • Classes for Daycare groups (transportation is available for groups of 12 or more). Daycare classes starting the week of September 29th.
    • Recreational Classes
    • Intermediate Programs
    • Middle School and High School non-competitive programs
    • Tumbling classes
    • Home school programs (call us to schedule time for your group)
    • USAG Competitive Teams, levels 4-10

    Viewing

    • Please remember that access to the gym is for gymnasts and coaches only. Parents and siblings are not permitted on the floor; it has proven to be to distracting to the classes. The only exception is for the Mom Pop and Tot classes where a parent is required to be on the floor with the child during class. We do not allow siblings out with their parents. We also ask that your refrain from talking with your child during class.
    • The viewing area is either the front lobby area or upstairs. If you are using the upstairs, please do not allow anyone to lean over the wall.

    Parents

    • Please review these rules in this booklet with your child and be sure you understand them before signing our registration form. We ask your cooperation in helping your child understand the importance of safety within the gym. Remember that they learn best by example.
    • BEFORE entering the gym, please remove shoes and bring belongings upstairs. Do not leave shoes or clothing along the walls of the gym floor. Make sure that things are placed neatly upstairs so that people can walk through. Check the lost and found box often and check the bulletin board for any notices. Please make sure to keep us current with any phone number or email address changes.
    • Place tuition in the payment drop box on the wall in the front lobby. If you will be missing a class, please call to inform us and remember that we do require a 30 day written notice if you are withdrawing from classes.
    • As always, if you have any questions that you need to discuss, never hesitate to ask!

    Robin Critchlow Bourdeau
    Owner
    Green Mountain Gymnastics
    robin@GreenMountainGymnastics.com
    802-652-2454