Registration Form

SLGC Registration Form

Student registration, emergency information, waiver, and registration agreement for St. Louis Gym Centre.

1Registration Details

2Emergency, Waiver & Agreement

Comments

This field is for validation purposes and should be left unchanged.

Student Information

Enter each child being registered. Leave unused child rows blank.

1. Child's Full Name(Required)

1. Date of Birth(Required)

1. Medical Concerns / Allergies

2. Child's Full Name

2. Date of Birth

2. Medical Concerns / Allergies

3. Child's Full Name

3. Date of Birth

3. Medical Concerns / Allergies

4. Child's Full Name

4. Date of Birth

4. Medical Concerns / Allergies

Parent or Guardian Information

Parent(s) or Guardian(s) Name(s)(Required)

Primary Cell Phone(Required)

Secondary Cell Phone

Additional Cell Phone

Work Phone

Email Address(Required)

Home Address(Required)

City(Required)

State(Required)

ZIP Code(Required)

May SLGC use my child's picture or name on its website, flyers, Facebook, YouTube, and other current or future social media?(Required)

Yes

Emergency Information

We will first attempt to contact the parent(s) or legal guardian using the numbers above. List another person we may contact if you are unavailable.

Emergency Contact Person (other than parent)(Required)

Emergency Contact Phone(Required)

Relationship to Child(Required)

Acknowledgment of Risk, Waiver of Liability, and Medical Authorization

I consent to my child(ren)'s participation in programs of the St. Louis Gym Centre (the Centre).

My child(ren) and I waive and release all rights and claims for damages arising from participation in the Centre's programs against the Centre or any of its paid or unpaid workers, including injuries or damages caused by the negligence or fault of the Centre or its paid or unpaid workers.

I understand there are risks in participating in the Centre's programs, and I sign this acknowledgment of risk, waiver of liability, and medical authorization voluntarily.

I confirm that the minor has no limitations affecting participation in the Centre's programs. I authorize first aid and consent to necessary examinations and treatment required before I can be contacted.

SLGC Registration Agreement

Five sessions per year. Tuition pays for the emotional, social, and physical education your child receives, not a specified number of lessons.

Priority Due Date. Current students must pay tuition by the Priority Due Date to maintain priority and guarantee their class spot. After that date, unpaid students may be removed from the roster and vacancies offered to new students.

New students. Full payment is required with registration; spots cannot be held without payment.

Joining, dropping, and changing classes. Joining or changing classes depends on availability. Once a session begins, there are no refunds or credits for dropping a class mid-session.

Absences and make-ups. Tuition pays for your child's place in class, not a specific number of classes. SLGC does not offer make-up classes for absences.

Inclement weather. Check KSDK Channel 5, SLGC's Facebook page, or stlouisgymcentre.com for updates.

Payment. Full payment is required with registration. Returned checks incur a $30 processing fee plus bank charges. Multiple-session prepayment may be available; paid future-session tuition can be refunded before those sessions begin.

Annual family administration fee. The agreement states a family administration fee is due upon initial registration and on the anniversary date. Confirm the current fee with SLGC before publishing this form.

Family discount. The highest-priced class tuition in the immediate family is charged at full fare; subsequent class tuitions receive a 20% discount.

Parent or Guardian Signature (type full legal name)(Required)

The Signature Add-On is not active, so enter your full legal name as your electronic signature.

Signature

Signature Date(Required)

SLGC Registration Agreement
WELCOME TO SLGC…..On the reverse side of this registration agreement you will find a registration form. All registration
forms must be filled out completely by each family enrolling in our programs. Please take time to review our policies.
FIVE SESSIONS PER YEAR…..We divide the year into five sessions. Your tuition dollars pay for the emotional, social and
physical education that your child receives and not for a specified number of lessons in a particular session in a particular year.
PRIORITY DUE DATE…..Priority Due Date (PDD) is the date by which Current Students must pay tuition in order to
maintain ‘priority’ and guarantee their class spot. After the PDD, OUR COMPUTER SYSTEM ELECTRONICALLY DELETES
UNPAID STUDENTS FROM THE ROSTER and the New Students are placed in the vacancies. The PDD occurs on Saturday,
two weeks in advance of each upcoming session except session 1, which has tiered enrollment and session 5, which is open
enrollment.

Student Status
NEW STUDENTS…..FULL PAYMENT IS REQUIRED WITH REGISTRATION. We can not hold any spots without payment.
CURRENT STUDENTS: TO KEEP YOUR SPOT IN CLASS… You must pay tuition BEFORE THE PRIORITY DUE DATE
(PDD) to guarantee your spot. Also, class change requests should be made BEFORE THE PDD to maintain priority over New
Students. We do NOT invoice: for your convenience we DO send home a computer-generated reminder but it remains YOUR
RESPONSIBILITY to know and honor the PDD’s throughout the year. We are aware that rigid deadlines may seem harsh:
however, the alternative to rigid deadlines is overbooked classes, not an acceptable alternative. If you are concerned about
forgetting the PDD please ask our front office about our Multi-Session Payment Option.

Joining, Dropping, Changing Classes Mid-Session
JOINING a class after the session commences… No problem, as long as there is a vacancy.
CHANGING classes mid-session… We will gladly accommodate class change requests assuming there is a vacancy in your
desired class.
DROPPING a class: There are no refunds or credits for dropping a class mid-session. ONCE A SESSION HAS COMMENCED
YOU ARE IN CLASS FOR THE ENTIRE SESSION, regardless of attendance.

Absences & Make-Ups
TUITION PAYS FOR YOUR CHILD’S SPOT IN YOUR CHILD’S CLASS. You are paying for the program, not a specific
number of classes. We do not offer make-up classes for absences. There is a week off in between sessions to allow an extension
of the session should SLGC need to close due to weather, holidays, etc.
INCLEMENT WEATHER POLICY… We almost never cancel classes, but in the event that we do, we will have a message on
KSDK Channel 5 or you may check our Facebook page or online at www.stlouisgymcentre.com for updates. We also email all
the families. Please stop by the office and make sure we have your email address on file.

Payment Procedures
PAYMENT SPECIFICS…Full payment is required with registration. Payment by cash, check, MC, Visa, Am. Exp, Disc.
Check policy: If your check is returned for non-sufficient funds (NSF), there will be a $30.00 processing fee plus bank charges.
MULTIPLE-SESSION PAYMENT OPTION…Concerned about forgetting the PDD? No problem; simply pay for multiple
sessions in advance and LOCK-IN your priority status. In the event your personal schedule changes and you cannot fulfill your
obligation to attend future sessions for which you have paid, SLGC will refund all tuition you have paid towards future sessions
BEFORE the start of the sessions.

$60.00 ANNUAL FAMILY ADMINISTRATION FEE…This is a flat, $55.00 per family fee which is due upon initial
registration and on your anniversary date thereafter. This fee defrays administrative costs and it entitles your immediate family
members to take advantage of member pricing for any additional programs.

FAMILY DISCOUNT…At SLGC the most expensive class tuition in your immediate family pays full fare. All class tuitions
thereafter receives a 20% discount.