Registration

Gymnast Name *

First

Last

Address Line 1 *

Address Line 2 *

City *

Province *

Postal Code *

Date of Birth (YYYY/MM/DD) *

Age *

Parent/Emergency Contact Name 1 *

Parent/Emergency Contact Name 2 *

Phone Number 1 *

Phone Number 2 *

Phone Number 3 *

Email 1 *

Email 2 *

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, other) *

Please select the class you would like to register for below. *

Preschool ( 3 - 4 year old's) - Mondays 6:10 - 6:55 PM $165 Beginners (5 years and up) Mondays 6:00 - 7:00 PM $215 Intermediates (7 years and up) - Mondays 6:00-7:30 PM - $290 Jeunesse Performing Team (8 years and up) - Mondays 6:00 - 8:00 PM $330 Junior Performing Team (10 years and up) - Mondays 7:00-9:00 PM/Wednesdays 6:30-8:30 PM - $625 Senior Performing Team (14 years and up) - Tuesdays 6:00 - 8:00 PM Thursdays 7:00 - 9:00 PM - $650 Masters Performing Team (18 years and up) - Wednesdays 8:30-10:00 PM - $340 Ladies - Performing Team Tuesdays 8:00 - 9:30 PM - $340

Norglen's Cancellation/ Refund Policy

If a registration is cancelled prior to the third class, a prorated refund minus a $20.00 administration fee will be given.

After this time, refunds are issued for medical reasons only and must be accompanied by a medical certificate or doctor's note.

Required field *

I have read and understand Norglen's cancellation and refund policy.

Website Permission

I give Norglen permission to use the gymnast's photograph on the club website or any 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 understood fully the above two paragraphs. *

Yes No