HomeClass ProgramClass SchedulePreschool Program

REGISTRATION FORM
2007-2008

If you do not want to send your credit card information over the internet, click here for a printable version of the registration. 

A one time registration fee of $40.00 per family must accompany this form.  
Fee covers students' insurance as well as administrative costs for life.

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Please provide the following information

  Student Name Home Phone Cell Phone
  Address
 City
 State
 Zip
Date of Birth
 Age
  

 
Referred by
    
E-Mail*  

Class Program

ZGG Program

Payment Plan

Pre-School Program

Kids & Company

Day and Time

Moonwalkers

Day and Time

Comets

 Day and Time

Pre-School Payment Options
 
Policies-Please initial below

*Proper attire is required to participate in classes at the gym.* Girls may wear a leotard or a one piece bathing suit. * No jewelry is to be worn, and hair must be tied back securely with a hair elastic.* Boys may wear gym trunks and a T-shirt. *For safety reasons, children who do not have the proper attire will not be allowed to participate.*Parents are always welcome to stay and watch class from outside the gym area. Please do not talk to, or otherwise distract you children during class. Any interruption could result in serious injury.  Parents are not allowed in the gym area.*No videotaping or photography during classes is allowed at Zero Gravity-however you can arrange can with management to take pictures of your child doing gymnastics when it is not a distraction to the students.*Except for the preschool program; Make-ups are not offered for classes cancelled due to inclement weather.*Pre-school program only: 2 make-ups are allowed per session.*Limit one class per day. *Schedule is subject to change please check the website and the gym for the most up-to-date schedule.*Classes close at ten past the hour.* Payments may be made by Cash, Personal check, Visa, or MasterCard. Returned checks will carry a $20.00 processing fee. NO REFUNDS OR CREDITS.

 

*Required-Check here to indicate you have read the above policies

If registering on-line you must have your credit card imprinted at the beginning of the session.

I HAVE READ AND UNDERSTAND THE ABOVE INFORMATION PROVIDED BY ZERO GRAVITY GYMNASTICS, AND GIVE PERMISSION FOR ZERO GRAVITY TO CHARGE MY CREDIT CARD FOR PAYMENT DUE.*
  

Credit card *
Cardholder name *
Card number *
Expiration date *

FAMILY INFORMATION

Mother's name

Work Phone

Father's name

Work Phone

Insurance co.  
Emergency Contact  

Phone

relationship to student  
Special Instructions

Medical Information

My son/daughter has a Medical condition/special need that should be noted, and includes the following:

AUTHORIZATION

I *Parent/Guardian of *hereby give my permission to said Son/Daughter to participate in the activities at Zero Gravity Gymnastic

I understand that my child has registered for classes at Zero Gravity Gymnastics.  I am aware of the policies above, and freely accept these terms and conditions.  I give permission to Zero Gravity to use images of my child for marketing purposes and for program development.  I understand that gymnastics is a sport that involves height and rotation of the body, therefore, there are inherent risks involved. I hereby testify as to my Son/Daughter's sound health of mind and body and I authorize Zero Gravity and its staff to seek medical treatment at the nearest medical facility in case of emergency. I hereby and forever release Zero Gravity Gymnastics Inc., its officers, agents, and employees from any claim or suit arising from my child’s participation in gymnastics.  I intend this statement to take effect as a sealed instrument.

* Required field


Last revised: December 11, 2007