Click here to view printable registration form and fax to 412-487-7333 or use our

ONLINE REGISTRATION FORM 2007-2008

Student Information:  Please fill in all blanks completely.

Name:      Sex:      Age: Grade:
Date of Birth: 

Address:    City:   State:
Zip:   Email:

Home Phone:   Emergency Phone #:

 

Please list any medical conditions to which we should be alerted: 

 

Mom's Name:   Place of Business:   Occupation:

Dad's Name:     Place of Business:   Occupation:

 

How did you learn about Jewart's Gymnastics?

If by a Friend or Other, please specify: 

Have you had any other children enrolled at Jewart's? 

WAIVER OF LIABILITY:

This form must be signed by a parent or guardian and the child if over 7 years of age.
My child has permission to attend classes at Jewart's Gymnastics. I feel my child is mentally and physically capable to participate in a program that offers either gymnastics, tumbling or rhythmic. I understand that my child will use trampolines and other apparatus involving height and motion, which might increases the inherent risk of these activities. I understand that these activities could lead to catastrophic injuries or even death. I hereby release Jewart's Gymnastics and it's owners, officers, employees, teachers and coaches from all liability for any and all damages, loss and injuries suffered by me or my child while in the facility, under supervision or instruction. I have thoroughly read this acknowledgement of risk and liability. I UNDERSTAND AND ACCEPT THE CONTENT AND INTENT OF THIS DOCUMENT AND VOLUNTARILY SIGN IN ACCEPTANCE. I have explained the contents of this waiver to my child
Please type your full name and the date here:

CLASS & PAYMENT INFORMATION:

My child is enrolled in the following class or team program: :

Class Day / Time, or Team Name:

My payment method will be:

AFT Monthly automated funds transfer through. Send a voided check if you are a first time AFT customer.
Bi-Monthly. Your tuition is due the 15th of the month prior to the first class of September, November, January and March session.
9 Month Cash Up Front. 3% discount for Sept thru May only. One time payment due before the first class of September.
Monthly payments are for team only. Payment must be made by the 1st of the month or we can charge your credit card. Please leave a credit card number with the office and fill in the consent to use this option or use AFT. A $10 late fee will be assessed.
Check here to receive e-mail billing instead of mail.

Tuition Schedule for 2007-2008 Classes

Annual registration fee is $38. (1st child $38, 2nd child $38, 3rd child does not pay a registration fee.)

Total Amount Due: 

Registration fee of $38 + Tuition Payment may be:

  1. Mailed to Jewart's Gymnastics at:  111 Oakhaven Drive, Wexford, Pa 15090
  2. Dropped off at the gym office, 2468 Wildwood Rd. outside of North Park
  3. or Faxed to 412-487-7333 *
  4. * Call the office to pay by credit card if you choose this option. 412-487-5999

** Please Note **

Please read the registration information.

We offer a 10% discount on the lower tuition if 2 or more children register for classes. If you sign up for two classes you receive a 10% discount on lower class tuition. 5% discount for team members. Registration fees are not discounted, nor refundable. Refunds are given for the remaining classes only if you are a first-time customer and are not satisfied after the first session



Phone: 412-487-5999 - Fax: 412-487-7333 - Email: ejewart@jewarts.com or gymnastics@jewarts.com
Gym Address: 2468 Wildwood Road, Wildwood, PA 15091 - Mailing Address: 111 Oakhaven Drive, Wexford, PA 15090
We are located just outside North Park on the Yellow Belt
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