Sign Up Child's InformationChild's Name* First Last Date of Birth* Date Format: MM slash DD slash YYYY Age*Grade in School*Gender*MaleFemaleClass Selection50% off applies to any second class for same student: discount applied to the class of lesser valuePlease Select Class Type:*Parent/Child ClassesPreschool ClassesGirls GymnasticsBoys GymnasticsCo-Ed NinjasPre TeamStarz TeamParent/Child ClassesMe & My Shadow - Tues 10:00 amMe & MY Shadow - Wed 10: amMe & My Shadow - Wed 3:30 pmMe & My Shadow - Sat 9 amMe & My Shadow - Sat 9:45 amMe & My Shadow - Sun 9 amPreschool Classes (Tumble Tots)Mon 4:00 pmMon 5:00 pmTue 10:45 amTue 3:45 pmWed 10:45 amWed at 3:30 pmWed at 6 pmThu at 3:45 pmThu at 4:45 pmFri at 10:30 amFri 3:45 pmSat 9 amSat 9:45 amSat 10:30 amSat 12:30Sunday 9:45 amGirls GymnasticsFireflies - Mon 4:00 pmFireflies - Mon 5:00 pmFireflies - Mon 6:00 pmFireflies - Tue 3:45 pmFireflies - Tue 4:45 pmFireflies - Wed 1:00 pmFireflies - Wed 3:30 pmFireflies - Wed 4:30 pmFireflies - Wed 6 pmFireflies - Thu 3:45 pmFirefliies - Thu 4:45Fireflies - Fri 3:45 pmFireflies - Fri 4:45 pmFireflies - Sat 10:30 pmFireflies - Sat 12:30 pmFireflies - Sun 10:30Fireflies - Sun 11:30Ladybugs (6-9 yr)- Mon 4:00 pmLadybugs (6-9 yr)- Mon 5:00 pmLadybugs (6-9 yr) - Mon 6:00 pmLadybugs (6-9 yr)- Tue 3:45 pmLadybugs(6-9 yr) - Tue 4:45 pmLadybugs (6-9 yr)- Tue 5:45 pmLadybugs (6-10 yr) - Wed 3:30 pmLadybugs(6 - 10 yr) - Wed 4:30 pmLadybugs (6-10yr) - Wed 6:00 pmLadybugs (6-10yr) - Thu 3:345pmLadybugs (6-10 yr) - Thu 4:45 pmLadybugs (6-10 yr)-Thu 5:45 pmLadybugs (6-910 yr) - Fri 3:45 pmLadybugs (6-10 yr) - Fri 4:45 pmLadybugs (6-10 yr) - Sat 10:30 amLadybugs (6-10 yr)- Sat 11:30 amLadybugs (6-910yr)- Sat 12:30 pmLadybugs (6-10 yr) - Sun 10:30 amLadybugs (6-10 yr) - Sun 11:30Little stars - Mon 5:00 pmLittle stars - Fri 4:30 pmLittle stars - Sun 9:00 amRsing Stars - Mon 5:00 pmRising stars - Mon 6:00 pmRising stars - Tue at 4:30 pmRising stars - Tue at 6 pmRising stars - Wed at 4:30 pmRising Stars - Wed at 6:00 pmRising stars - Thu at 4 pmRising stars - Thu at 5:45 pmRising stars - Fri at 4:30 pmRising Stars - Fri 6:00 pmRising stars - Sat at 11:30 amRising stars - Sun at 9 amShooting stars - Mon at 5:00 pmShootin stars - Tues at 6:00pmShooting stars - Wed at 4:30 pmShooting stars - Wed at 6:00 pmShooting stars - Thurs at 4:00 pmShooting stars - Thurs at 5:45 pmShooting stars - Fr at 4:30 pmShooting Stars - Fri 6:00 pmShooting Stars - Sunday at 9:00 amTumbling/Acro - Mon 7:00 pmTumbling/Acro - Tues 3:45 pmTumbling/Acro - Wed at 7:00 pmTumbling - Fri at 5:45 pmBoys GymnasticsFireflies - Mon 4:00 pmFireflies - Mon 6:00 pmFireflies - Tues 3:45 pmFireflies - Tues 4:45 pmFireflies - Wed 3:30 pmFireflies - Wed 4:30 pmFireflies - Wed 6:00 pmFireflies - Thurs 3:45 pmFireflies - Thurs 4"45 pmFireflies - Fri 3:45 pmFireflies - Fri 4:45 pmFireflies - SAt 10:30 amFireflies - Sat 12:30 pmFireflies - Sat 1:30 pmFireflies - Sunday 10:30 amFireflies - Sunday 11:30 amLions - Mon 5:00 pmLions - Wed 4:30 pmLions - Thurs 5:45 pmLions - Sat at 10:30 pmTigers - Thurs 5:30 pm level 2Tigers - Fri 5:45 pm level 2Tumbling - Mon 7:00 pmTumbling - Wed at 7 pmTumbling - Fri at 5:45 pmCo-Ed NinjasTuesday 4:45Thursday 3:45Pre TeamMonday 6:00 pmTuesday 5:45 pmWednesday 6:00pmThursday 4:00pmFriday 5:45pmSaturday 11:30amContact InformationParent/Guardian Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home PhoneCell PhoneOther PhoneEmail* Emergency ContactName* First Last Relationship*Phone*Does the child being registered have any medical conditions or restrictions?*YesNoIf so, please explain:Other PhoneTerms of AgreementAcknowledgment of Risk and Waiver of Liability: As the parents or legal guardians of all students listed above, we hereby give permission for our child to participate in programs at Gymnastic Academy of Boston, Inc. We recognize that gymnastics is a sport that purposes in any medium of advertising, communication, publication or publicity that will promote G.A.B. programs, involves inflatables, height, and rotation of the body and there are inherent risks involved. On behalf of our child and on our own behalf, we agree to waive all claims against Gymnastic Academy of Boston, Inc and its owners, staff and instructors for any liability, loss, cost, damage, medical expense, long-term care or emotional distress arising out of any personal injury, including total disability, paralysis and death, which may occur to any of our children while on the premises of or under the instruction, supervision, or control of Gymnastic Academy of Boston, Inc. We hereby testify to our child’s sound health of mind and body and we authorize Gymnastic Academy of Boston, Inc to seek medical treatment at the nearest medical facility in the event of an emergency. I have *read and understand all terms, including the Risk and Waiver of Liability as posted on this form. Make-up Classes- Make-ups are provided as a courtesy for actively enrolled students, as space permits and are limited to one per month. Once a makeup is scheduled it cannot be rescheduled for another date, as we are reserving the space for your child. Make-ups need to be scheduled in advance by phone, email or in person. Missed classes cannot be deducted, credited nor transferred. Discounts- The following discounts will automatically be calculated: 20% sibling discount, 40% off each additional class for one student. Discounts are applied to the less expensive class and are not to be combined with sibling discount. Membership also qualifies members for additional discounts for parties, camps, special events and activities. Holidays- We will be closed on Thanksgiving, Christmas, New Year’s Day, Easter and Independence Day. No classes will be held during the December and February school vacation weeks. Camps- Please inquire about our FLIP, FLOP and TUMBLE vacation programs and summer camp. Spring Show- Our annual spring show is always an exciting time. THE KIDS LOVE IT!! All classes for ages 3 and up will participate. The first week in June will be our end of the year celebration to show off the wonderful skills they learned all year with the friends they have made. After practicing their skills and routines for months they will get the opportunity to show off! As part of the day, children wear a special-ordered theme oriented leotard or T-shirt to coordinate with the theme of the show! All show ttire must be paid for by Quarter 3. Family and friends are invited! Drop Policy – Gymnastics academy of Boston is a school year program. If you wish to end enrollment, written notice or a drop form is required a minimum of 2 weeks prior to the upcoming quarter. Gymnastics Academy of Boston does not issue refunds, credits, pro-rate or guarantee make-ups for missed classes due to personal reasons and you are obligated to pay the full tuition once a session begins. The following forms of payment are accepted: Cash, Check, Visa / Mastercard or Discover.* I agree to the terms stated on this form. Legal Guardian/Parent Name*May we use your child’s photo for advertising purposes?*YesNoHow Did You Hear About Us?