1st Gymnast's Name
*
First Name
Last Name
Date of Birth
*
MM
DD
YYYY
Gender
*
2nd Gymnast's Name
Leave blank if signing up only one gymnast and proceed to "Select Your Program."
First Name
Last Name
Date of Birth
Leave blank if signing up only one gymnast and proceed to "Select Your Program."
MM
DD
YYYY
Gender
Leave blank if signing up only one gymnast and proceed to "Select Your Program."
3rd Gymnast's Name
Leave blank if signing up only one or two gymnasts and proceed to "Select Your Program."
First Name
Last Name
Gender
Leave blank if signing up only one or two gymnasts and proceed to "Select Your Program."
Date of Birth
Leave blank if signing up only one or two gymnasts and proceed to "Select Your Program."
MM
DD
YYYY
Select Your Program
*
Pick a Day and Time
*
PLEASE REFER TO THE CLASS SCHEDULE AT THE BOTTOM OF THIS PAGE, then kindly write the day, or days, and respective start time for each day you are signing up for. If you're signing up for private lessons, please specify the date and time (Per previous email correspondence for available days and times).
Pick a Start Date
*
Please indicate the day of your first class. First month's tuition is due upon submitting your registration. If tuition is not paid within one week, the space will not be reserved.
MM
DD
YYYY
How did you hear about Manakoa Gym?
*
Name of Parent or Guardian
If any of the gymnasts named above is a minor, please provide parent’s or legal guardian’s name in this field.
First Name
Last Name
Primary Email
*
Home Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
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Emergency Contact Name
*
Emergency Contact: Kindly provide the name and number of a trusted individual we may contact in case of an emergency.
First Name
Last Name
Relationship to the gymnast(s)
*
Emergency Contact Phone Number
*
(###)
###
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MEMBERSHIP AGREEMENT: In consideration of my membership in Manakoa Gymnastics and my participation in Manakoa Gymnastics’ classes, trial class, events, competitions, and activities, I agree to be bound by each of the following: 1. ELIGIBILITY: I agree to comply with the rules of Manakoa Gymnastics. Please refer to our current gym policies under the schedule tab of our website. 2. MISSED CLASSES: Missed classes may be made up within two weeks of the absence as long as membership is active. After two weeks, that class is forfeited. No classes may be made up after membership is terminated. Please email to schedule a make-up class. Make-up classes are subject to schedule availability and cannot be guaranteed. Missed make-up classes are not eligible for make-up. Private lessons are not eligible for make-up. 3. HOLIDAYS: Holidays are not included in the price of tuition, which means when you pay for tuition you are not paying for closures. The instructional calendar does not include closures because the instructional minutes to cover for potential loss of days were included in the calendar, and therefore, excluded from the price of tuition. Classes missed due to holiday closure and special circumstances are not eligible for make-up. Please refer to our website for a current list of holiday closures. 4. AUTOMATED PAYMENTS: I authorize Manakoa Gymnastics to automatically charge my credit card or ATM on file for my future payments. To disenroll and cancel automated payments under this agreement, email us with at least 48 hours notice prior to the end of your monthly billing cycle at manakoagym@gmail.com. 5. DIS-ENROLLMENT: To disenroll and cancel automated payments under your agreement, you must email us with at least 7 days notice prior to the end of your monthly billing cycle at manakoagym@gmail.com. Once tuition payment is processed, it is non-refundable. 6. TUITION IS PAYABLE IN ADVANCE AND NON-REFUNDABLE: I understand that by registering for classes or a trial, my card will be run for the first month’s tuition or trial fee respectively. Tuition is payable in advance and non-refundable. Once tuition payment is processed, it is non-refundable because that spot was reserved for you for that month. Membership rate will be reset to that currently posted on our website anytime there are changes or modifications requested. Class scheduling will also be subject to current availability. 7. PHOTO RELEASE: I further agree that Participants involved in Manakoa Gymnastics’ programs may be photographed and such photographs may be used to publicize Manakoa Gymnastics’ programs/activities. 8. LATE PAYMENTS: Late payment of tuition due to a declined card will incur a $20 late fee. Payment must be made within ten days of your billing date, otherwise membership will be deactivated and any balance left unpaid will be reported to the credit card company. 9. WAIVER & RELEASE: I am aware that gymnastics is a dangerous activity that could result in injury, paralysis, or even death. I assume all risks of injury or loss to myself or my child arising from the Manakoa Gymnastics' classes/programs/activities. If the participant is a minor, I also give my permission for his/her participation in the above activity, and for any necessary medical treatment. In exchange for me, and/or my child, being allowed to participate in Manakoa Gymnastics’ classes/programs/activities, I release, discharge and agree to indemnify and hold harmless Manakoa Gymnastics, its employees, officers, or agents (the “Released Parties”) from any liability, loss or damage, including but not limited to that arising from the negligence of any of the Released Parties, which may result to me or any minor child of mine. For any athlete who is not yet 18 years old: As legal parent or guardian 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 at Manakoa Gymnastics.
*
Please type your name below. This will be considered your digital signature.
First Name
Last Name
Credit Card Type
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VISA
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Name as it Appears on the Card
*
Expiration Month
*
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01 - January
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06 - June
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12 - December
Expiration Year
*
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2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
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