Spring Fling Special Day
Friday, May 19th, 2017
Children (Fully potty-trained) Ages 3 - 12

Half Day (9:30am-12:30)
Full Day (9:30am-2:30pm)

THEME:
Spring Fling

SPECIAL DAY REGISTRATION FORMS are required each time a Special Day event is offered.

You can call ahead to reserve your spot
(914)238-4967

* Required fields marked with an asterisk.
  • *Current World Cup Members receive a discount.
    *Non-Members are welcomed.
  • Enter NONE or list any allergies or special information
  • <<<<<<<<<<<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>>>>>>>>>>
  • *Current World Cup Members receive a discount.
    *Non-Members are welcomed.
  • Enter NONE or list any allergies or special information
  • <<<<<<<<<<<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>>>>>>>>>>
  • *Current World Cup Members receive a discount.
    *Non-Members are welcomed.
  • Enter NONE or list any allergies or special information
  • <<<<<<<<<<<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>>>>>>>>>>
  • *Current World Cup Members receive a discount.
    *Non-Members are welcomed.
  • Enter NONE or list any allergies or special information
  • <<<<<<<<<<<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>>>>>>>>>>
  • - -
  • Health Insurance Carrier
  • Mother's Name or Main Guardian's Name
  • - -
    Mother's Cell Phone or Main Guardian's Cell Phone
  • Mother's e-mail or Main Guardian's e-mail
  • Emergency Contact other than Parent or Guardian
  • - -
    Emergency Phone Number othet than Parent or Guardian
  • SPECIAL DAYS & TIMES:

    Specific program information, dates and times are located on our website at
    www.worldcupgymnastics.com.
  • PRICING:

    Current Member Full Day (9:30am-2:30pm): $75 per child

    Non-Member Full Day (9:30am-2:30pm): $85 per child

    Current Member Half Day (9:30am-12:30pm): $45 per child

    Non-Member Half Day (9:30am-12:30pm): $55 per child
  • PAYMENT INFORMATION:
  • Choose the Credit Card you wish to use.
  • Make sure your Credit Card number is correct.
  • /
    Enter 2 digits for the month; 4 digits for the year.
  • Let us know of any special information or request.
  • RULES/POLICIES, WAIVER/RELEASE & ACKOWLEDGEMENT:

    Read below and check marked boxes to confirm.
  • PAYMENT: No registration will be valid without payment.

    CLOSURES: The gym may be closed due to inclement weather or some other reason. Call (914)238-4967 or visit our website for closure details and updates at worldcupgymnastics.com.

    CANCELLATION FEE: $15 per child per day if notified less than 5 days before scheduled Special Day.

    REFUNDS/CREDITS: No refunds will be given unless notified more than 5 days before scheduled Special Day. Exceptions are only allowed with a doctor's note.

    WHILE AT WORLD CUP GYMNASTICS: Parents and non-participating siblings are not allowed on the gym floor. Spectators may observe the class from hallways or the balcony. Do not call out or distract your child during the Special Day. Children under the age of 12 who are not participating in the Special Day may not be left unattended on the premises, and children must be supervised at all times. Have your children obey the Gym Rules and Policies at all times. World Cup is not responsible for any lost or stolen items. Valuable items may be left with the front desk.
  • WAIVER: World Cup and its staff recognize our obligation to make our clients aware of the risks and hazards associated with the sport of gymnastics, tumbling, trampoline, cheerleading, Romperee, etc. World Cup Gymnastics and its staff will not accept responsibility for injuries sustained by any child, parent and/or caregiver during the course of any gymnastics activities and/or while arriving or departing or waiting anywhere on World Cup Gymnastics premises. Parents and/or caregivers should be aware of, and educate their children about the possibility of injury. Parents and/or caregivers should also encourage their children to follow all safety guidelines and World Cup staff instructions. Gymnastics can be dangerous and lead to injury. Students, parents and/or caregivers may suffer injuries, possibly minor, serious or catastrophic in nature.

    Therefore, being fully aware of the risks and possibility of injury involved, I consent to have my child and/or myself participate in the programs offered by World Cup Gymnastics. I waive and release all rights and claims for damages that I or my child may have against World Cup Gymnastics and/or its representatives and staff, whether paid or volunteer. With this in mind, in the event of an injury or illness to my child or myself, and with the knowledge that World Cup staff members are not physicians or medical practitioners of any kind, I consent to the administration of temporary first aid to me and/or my child by World Cup staff if they deem necessary, contacting a doctor and/or seeking medical help, transportation by a World Cup staff member and/or its representatives, whether paid or volunteer, to any health care facility or hospital, calling 911 and/or an ambulance, etc. I also affirm that I now have and will continue to provide proper hospitalization, health and accident insurance coverage which I consider adequate for both my child's and/or my own protection. I also understand that it is my responsibility to continually remind my child about the dangers of gymnastics, tumbling, trampoline, cheerleading, Romperee, etc. injury. World Cup Gymnastics staff members will continually remind the children, parents and/or caregivers of safety guidelines during our programs, as well as post signs throughout the premises.

    PHOTO RELEASE: I authorize that World Cup Enterprises LLC has the right to use all photographs or videos taken of my child or children during Special Days, camp, classes, practices, field trips, etc. for advertising or promotional materials, or on its website.
  • I accept World Cup's Rules/Policies, Waiver/Release & allow my payment to be processed by World Cup administration.
  • / /
    Enter the date you submit this registration Form.
  • Review all information and make any necessary changes.

    Make sure all information is correct before processing registration form.