* We will call you only if your first class choice is not available
Stardust Gym reserves the right to cancel any class where enrollment is less than six children. -15% discounts are offered to siblings in the same
program. -10% discounts are offered for same child taking additional classes in the same program. Refunds of tuition will be granted within the
first two (2) weeks of a session only. Make-up classes must be made before the end of a given session and scheduled with the office for space
availability. Stardust Gym reserves the right to changes it’s policies, forms and/or schedules at any time. Completing this form does not guarantee availability in your chosen gymnastics classes. Please call or email us to confirm space.
YES I ACKNOWLEDGE & AGREE
I/we hereby authorize Stardust Gym to use pictures taken of my child (children) for the Stardust Gym website and promotional purposes including, but not limited to, public newspapers, brochures, websites and social media.
I hereby give permission for my child/children to participate in classes/events conducted at Stardust Gym and understand that it is my
responsibility to carry my own accident and medical insurance. In the event of an injury or accident, I authorize customary medical treatment,
as well as transportation and emergency medical services, if warranted at the expense of myself or my health insurance. The enrolled child/
children is/are capable of participating in the activities and have had a physical within the last twelve (12) months. I acknowledge that the
activities my child/children will be participating in at Stardust Gym may be dangerous and involve many risks of injury such as, but not limited,
to death, neck or spine injury, brain damage and injury to bones, muscles and other aspects of the body. The intent of Stardust Gym is to
provide for the safety and protection of the children and I, the undersigned, assume all the risks associated with the activities and agree to
hold Stardust Gym, it’s officers and employees harmless from any and all liability, causes of action, debts, claims, or demands of any nature whatsoever which may arise in connection with my child’s participation. The terms hereof serve as a release. Children and parents are
not allowed in the gym without a Stardust gym instructor. Toddler Programs: I agree to supervise my child/children at all times while on the
premises of Stardust Gym.
YES I ACKNOWLEDGE & AGREE
I/we the parent(s) or legal guardian(s) have read the above warnings and release and understand it’s terms. If signing this document digitally,
typing your name and date in the fields below will act as your signature.
612 Plymouth Street, Unit 3R East Bridgewater, MA 508.378.2223 www.StardustGym.com