Penticton Springers
Back to Home page


Registration Form and Gymnastics BC Waiver

Artistic Recreation Program
The following participant information is collected by GBC.
First Name*  Last Name* Gender*
Birthdate*      Age*
Mailing Address*
City*  Postal Code*
 
BC Medical Number*   
Medical Info*
i.e.: allergies, medical conditions,
ADHD, ASD, epilepsy, etc.
   
Parent/Guardian Info
First Name* Last Name*     Relationship to participant*
Phone* Email*
Emergency Contact
(other than Parent/Guardian) 		First Name*
 Last Name*
 Relationship to participant*
 Phone*
Classes & Camps
Classes and Camps are on a first come first served basis and are limited in size.
Although we cannot guarantee that you will get your choices, every effort will be made to accommodate your request.
Please Indicate your first and second choice from the schedule.
First Option
Day:*
Time:*
Second Option
Day:
Time:

Gymnastics BC Release of Liability
In consideration of THE RELEASEES allowing me to participate in gymnastics activities, I hereby agree as follows:
1. TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against THE RELEASEES and TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense or injury including death that I may suffer or that my next of kin may suffer as a result of my participation in gymnastics activities, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE OCCUPIERS LIABILITY ACT, R.S.B.C. 1996, c. 337, ON THE PART OF THE RELEASEES. I UNDERSTAND THAT NEGLIGENCE INCLUDES FAILURE ON THE PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM OR WARN ME OF THE RISKS, DANGERS AND HAZARDS OF PARTICIPATING IN GYMNASTICS ACTIVITIES;
2. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any property damage or personal injury to any third party resulting from my participation in gymnastics activities;
3. This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives, in the event of my death or incapacity;
4. This Release Agreement and any rights, duties and obligations as between the parties to this Release Agreement shall be governed by and interpreted solely in accordance with the laws of British Columbia and no other jurisdiction; and
5. Any litigation involving the parties to this Release Agreement shall be brought solely within British Columbia and shall be within the exclusive jurisdiction of the Courts of British Columbia.
*

ASSUMPTION OF RISKS
I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH GYMNASTIC ACTIVITIES AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS RESULTING THEREFROM. These risks, dangers and hazards are reviewed in detail in the Gymnastics B.C. website: https://www.gymbc.org/safety-and-risk-management/ Please take the time to learn about the risks, by carefully dangers and hazards of participating in gymnastics activities reviewing the Health and Safety, Assumption of Risks, and Risk Management sections of the Gymnastics B.C. website. Exposure to infectious disease including COVID-19 is one of the risks of participating in gymnastics activities. Specific information regarding the response of Gymnastics BC and member clubs to the COVID-19 pandemic is found in the Public Health section of the website. If you are a parent or guardian of a participant under the age of 19, please educate your child on these risks, dangers and hazards before completing this form. All participants in gymnastics activities are required to assume all such risks, dangers and hazards and all injuries resulting therefrom.
*

Medical Authorization:
I authorize Springers Gymnastics Adventures and its staff to provide all emergency medical care, which they may deem necessary for my child as the case may be, in the event of an injury. I agree to reimburse 'Springers Gymnastics Adventures' for any expenses thereby incurred.
*

Refund Policy:
There will not be any refunds after the second week of classes, or after the second day of camp. The annual Membership Insurance fee is Non Refundable. There is a $30 administrative fee for all withdrawals.
*

Behavior & Conduct
I hereby acknowledge that my child will act in accordance with the Springers Gymnastics Adventures rules and regulations and participate in an appropriate and reasonable manner at all times. Should Springers Gymnastics Adventures and their staff determine, at their sole discretion, that my child's actions are inappropriate, my child will be released from the Springers Gymnastics Adventures program immediately.
A partial refund, less a $30 administrative fee.
*
*

Name of legal Guardian* 		Date (yy/mm/dd)*

After submitting form, please contact Springers for payment.