Kids 'N Gym - Online Registration Form

We welcome children
with special needs
as well as their
caregiver or volunteer.

Expect to have fun at Kids 'N Gym

ONLINE REGISTRATION
**Important: A completed registration form, along with the signed liability form, and payment is required to hold your spot. All three must be received by Kids 'N Gym before classes begin.

*Indicates required field

*Participant's First Name:

*Participant's Last Name:

*Parent or Guardian First Name:

*Parent or Guardian Last Name:

Mailing Address

City

Postal Code

Tel: No.

*Email Address (enter 1 address ONLY)

Participant's Date of Birth (Year / Month / Day)

Male or Female

Medical History (Allergies, Diabetes, Special Needs, A.D.H.D, Major Injuries)

Medical Number

First Choice Session Name:

Day

Time

Second Choice Session Name:

Day

Time

CALCULATE CHEQUE AMOUNT:

Session Fee: (please add GST below)

GST: (Fee X 5%):

Sub Total: (Fee plus GST):

ADD: Annual Gymnastics
BC Insurance Fee of $15.00
Total cheque amount
(Sub total plus Insurance Fee):

Kids 'N Gym will call to advise you of space and availability for the session requested.

Once you have received confirmation, your space will be guaranteed upon receipt of payment to Kids 'N Gym Ltd. 998 Raymer Avenue, Kelowna, BC V1Y 4Z9

PLEASE NOTE: All new registrants must pay a $15.00 Gymnastics BC registration/insurance fee Fees must be paid at time of booking. There are no exceptions to this rule. Membership is valid through September 1 2008 – August 31 2009

GYMNASTICS BC / INSURANCE COSTS
Fall Programs $15
Winter Programs $15
Spring Programs $15
Mini Session $0 (no charge)

REGISTRATION POLICIES

Receive a 5% discount off 2nd class, receive 10% discount for the 3rd class

NSF cheque fee of $20.00

Post dated cheques dated 1st of each month

Refunds for medical reasons only with a doctor’s note.

Minimum class numbers required for classes to run. If cancellation is necessary, Kids’N Gym will notify you and program fee will be fully refunded.

PROGRAM REGISTRATION

$50.00 non-refundable deposit due to reserve space

FORMS OF PAYMENT ACCEPTED

Cash

Cheques
Post-Dated Cheques: All cheques for the complete Session must be presented at time of registration first cheque must be dated the day of registration. Each subsequent months cheques dated the 1st of each month.

Fees not paid upon registration will be waitlisted until payment is received.
Make cheques payable to:
Kids 'N Gym Ltd.
998 Raymer Avenue, Kelowna, BC
V1Y 4Z9

DISCOUNTS
Receive a 5% family discount off 2nd child’s (lower) class fee and receive 10% discount for the 3rd child's (lower) class fee

CREDITS / REFUNDS
Registration fee is non-refundable. Credits will be issued on account for medical reasons only with Dr.'s note.

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fun!Kelowna, B.C. Info Line: (250) 860-7941 E-mail: info@kidsngym.com
fun!