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Registration
General Information
Gymnast First Name
Required
Gymnast Last Name
Required
Parent/Emergency Contact Name
Required
Parent/Emergency Contact Phone Number
Required
Date of Birth
Required
Age
Address 1
Required
Address 2
City
Required
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Northwest Territories
Nunavut
Yukon
Required
Postal Code
Required
Phone
Required
Alternate Phone
E-mail
Valid e-mail required
Has the gymnast previously participated in rhythmic gymnastics?
Yes
No
If yes, which level Prism badge did the gymnast receive?
Please list any previous training (artistic gymnastics, dance, swimming, etc.).
Where did you hear about Norglen Rhythmic Gymnastics?
Select one
Current Norglen member
Website search
Newsletter advertisement
Calgary’s Child magazine advertisement
Bulletin board advertisement
Facebook advertisement
Word of mouth
Other
Class Selection
Please select the class you would like to register for below.
Preschool (3-4 years) - Mondays 6:00-6:45
Beginners (5-8 years) - Mondays 6:30-7:30
Intermediates (7 and up) - Mondays 6:00-7:30
Ladies - Tuesdays 7:00-8:30
Jeuness Show Group (9-13 years)*
Junior Show Group (14-18 years)*
Senior Show Group (18 years and up)*
Prostars (21 years and up)*
* All performing groups are open to new gymnasts. However, admittance is at the discretion of the coach. Previous experience is not necessary although it is an asset.
Web Site Permission
I give Norglen permission to use the gymnast's photograph on the club's website and on other Norglen promotional material.
Yes
No
Indemnification
I, being the above named gymnast, or the parent or guardian of the above named gymnast hereby consent to the participation in rhythmic gymnastics under the general supervision of the Norglen Rhythmic Gymnastics Club ("the Club"), its coaches and supervisors. I accept complete and total responsibility for myself/my child at all times with respect to my/their participation in the Club program.
In consideration of the Club accepting this application, I, the undersigned, hereby agree to indemnify the Club, its coaches and supervisors, and Rhythmic Gymnastics Alberta from any and all claims or demands which may be made against them in the event that myself/my child is injured while participating in or being transported to or from any location with respect to any event involving rhythmic gymnastics.
I acknowledge that I have read and fully understand the above two paragraphs.
Please note: The
RGA PIPEDA Release Form
will need to be filled out on or before the first day of classes.
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