Private Lesson

Private Lesson Registration Form

Lessons are $30 each

($10 registration fee due in advance and $20 in CASH ONLY payable to your teacher the day of your lesson)

How did you hear about us?

Which Gym would you like to attend?

Contact Information

First & Last Name:

Street Address

City

Zip Code

Cell Phone #

Home Phone #

Email:

Contact Information

First & Last Name:

Street Address

City

Zip Code

Cell Phone #

Email:

Home Phone #

Gymnast Information

First & Last Name:

Birth Date:

Medical Information:

Olympiad Gymnastics Policies

CAUTION:

Any activity involving motion, rotation, or height may cause accidental injury.

MAKE-UP POLICY:

Absence due to an illness must be made up in the same session. No credit is given for missed classes. You MUST call the office (302) 656-3715 to schedule a make-up class so we may can make sure there is room in the requested make up class.

ATTIRE:

Girls should wear leotards (no tights or nylons) or t-shirt and shorts; Long hair pulled back. No gum or jewelry. T-Shirts & shorts are acceptable for boys. Bare feet (no sneakers). T-Shirts are available for purchase, please call to order

CLASS INFORMATION:

All students must be toilet trained. All students must use the restroom prior to class time. We are not responsible for lost or stolen items. No food, drinks or gum is allowed in the gym. Parents are NOT permitted on the gym floor.

Payment Agreement:

I understand that any and all monies paid are non-refundable.

INCLEMENT WEATHER:

Cancellation due to snow or other adverse weather conditions will be posted on facebook.

INSURANCE:

Excess accident/medical insurance provided for each participant.

** We reserve the right to cancel classes if a minimum number is not enrolled **

Liability & Legal Release

As the legal parent or guardian, I understand that there are inherent risks involved in gymnastics and I hereby release and hold harmless Olympiad Schools, Inc., Flip Kidz Gymnastics, LLC, its owners, school directors, staff, & instructors from any and all liability or damage claims that could occur. I understand that photos and/or videos of my child may be used in print as well as internet media. I understand that any and all monies paid are NON-refundable.

What skill would you to work on most?

Digital Signature:

Comments:

* Sign-In & Pay prior to class

* Place all personal items in a cubby

* Have bare feet, long hair pulled back

* Leave gym when bell is rung at end

* Have Parental Release completed

* Wait in lobby until instructor lets you in the gym

* Stretch prior to beginning work out

* Wait inside lobby for ride after class

ALL PARTICIPANTS MUST:

* An instructor MUST be present

* Do not attempt skills above your ability

* Do not use any Pre-school equipment

* Only 1 person on a trampoline at a time

* Spotting MAY NOT be done by other participants

* Request an instructor's help if unsure

* No running or horseplay in lobby or gym

* Do not flip without instructor's approval

USE OF EQUIPMENT:

Day Requested:

Time Requested:

380 Water Street, Wilmington / Newport DE 19804

302-656-3715 | Office@FlipKidz.com