Days: Monday &
Wednesday
Times: 2:00 PM – 4:00 PM
Dates: June 18 – July 25
Cost: 2 Weeks:
2 days per week - $60.00
1 day per week - $50.00
4
Weeks:
2 days per week - $90.00
1 day per week - $70.00
6
Weeks:
2 days per week - $140.00
1 day per week - $110.00
Pay for 2, 4 or 6 weeks. The 2 & 4 weeks can be separated
throughout the summer.
Please let me know what weeks
your son will be able to attend.
Payment is due during the first week of the session. Checks should be made out to Hinsdale
Gymnastics. Checks can be mailed or sent
with your son during the first week of practice. If mailing the check send it to:
Mark Wanner
55th & Grant Streets
Please fill out the attached form and send with your son
to their first practice. Also indicate
what sessions and days your son will be attending.
Thank You
Mark
Wanner – mwanner@hinsdale86.org
W 570-8274 Gym 570-8238
I fully understand that the Hinsdale Gymnastics Club staff members are not physicians or medical practitioners of any kind. I hereby release the Hinsdale Gymnastics Club staff to render temporary first aid to my child or children in the event of any injury or illness, and if deemed necessary by the Hinsdale Gymnastics Club staff to call our doctor/trainer and to seek medical help, including transportation by a Hinsdale Gymnastics Club staff member and or its representative, whether paid or volunteer, to any health care facility or hospital, or the calling of an ambulance for said child should the Hinsdale Gymnastics Club staff deem this to be necessary.
Parent or Guardian Signature _______________________________ Date ___/___/___
We, the staff of the Hinsdale Gymnastics Club recognize our obligation to make students and their parents aware of the risks and hazards associated with the sport of gymnastics, tumbling or cheerleading and dance. Students may suffer injuries, possible minor, serious, or catastrophic. Gymnastics, tumbling and cheerleading can be dangerous and can lead to injury. Parents should make their children aware of the possibility of injury and encourage their children to follow all safety rules and the coaches’ instruction.
Hinsdale Gymnastics Club, its coaches and other staff members, will not except responsibility for injuries sustained by any student during the course of gymnastics, tumbling, dance and cheerleading instruction, or open workouts, or in the course of any exhibition, competition or clinic in which he or she may participate or while traveling to or from the event.
With the above in mind, and being fully aware of the risks and possibility for injury involved, I consent to have my child or children participate in the programs offered by the Hinsdale Gymnastics Club. I, my executors or other representatives, waive and release all rights and claims for damages that I or my child may have against the Hinsdale Gymnastics Club and or its representatives whether paid or volunteer.
I also affirm that I now have and will continue to provide proper hospitalization, health, and accident insurance coverage which I consider adequate for both my child’s protection and my own protections.
I also understand that it is the parents’ responsibility to warn the child about the dangers of gymnastics and injury. The parent should warn the child according to what the parent feels appropriate. Hinsdale Gymnastics Club will only warn the child through “safety Messages” and our teaching style and progressions.
Parent or Guardian Signature _______________________________ Date ___/___/___
Print Parents Last Name _____________________________________________________
Print Parents First Name _____________________________________________________
Home Phone ______________________ Emergency Phone ________________________
Email Address _____________________________________________________________
Participants Name: Age Grade Date Time Fee
_______________ ________ ________ ________ ________ _______
_______________ ________ ________ ________ ________ _______