911 Hope St—Box 4665—Stamford CT 06907—203-357-8167—FAX 203-977-7898

Come and visit us on the web!  www.arenagymnastics-ct.com

  SUMMER CLASS PROGRAM FOR BOYS

 Ages 5 and up (completed Kindergarten)

           

 

Each activity period consists of a one-hour class.  Scheduling is very flexible during the summer.  Students may be registered in their appropriate level and will be grouped accordingly.  The object of this is to allow students and families to work around other activities and vacations while keeping up with and building upon the child’s skill level at the same time.  Take advantage of this unusual opportunity!  Call the office with any scheduling questions.

 

DATES: JUNE 23 THRU AUGUST 14, 2008    SPECIAL RATE: $20.00 PER ONE-HOUR CLASS.

 

 

NAME________________________________________________AGE______DATE OF BIRTH_________________

 

ADDRESS______________________________________CITY__________________STATE______ZIP___________

 

HOME PHONE_______________________       WORK _______________________CELL______________________

 

PLEASE CIRCLE THE DATES AND CLASSES FOR WHICH YOU WISH TO REGISTER

 

	MONDAY	TUESDAY	WEDNESDAY	THURSDAY
	6/23   7/07   7/14   7/21   7/28   8/04    8/11			6/26   7/10   7/17     7/24   7/31   8/07   8/14
TIME	MONDAY	TUESDAY	WEDNESDAY	THURSDAY
11:00-12:00 ________________ 12:00-1:00	5 - 6 YRS ________________         7 - 10 YRS			5-6 YRS ________________          7-10 YRS

ALL FEES ARE NON-REFUNDABLE AND MUST BE PAID IN FULL AT THE TIME OF REGISTRATION.

 

MC/VISA#_________________/_______________/_______________/______________EXP DATE __________________

 

 NAME OF CARDHOLDER____________________________________________________CHECK ENCLOSED___________

 

NOTE: In order for your child to participate in any of Arena’s programs, it is necessary for us to have the following disclaimer signed by you as parent/guardian of the child. It MUST be in our hands PRIOR to the start of classes. Thank you.

                                                                                                                                                                                                                                                  The undersigned parent/guardian of___________________________________________,a student at Arena Gymnastics, Inc. understands that the practice of gymnastics can potentially be a dangerous activity and can result in injuries. The undersigned hereby agrees, on behalf of his/her child/ward, to waive any and all claims for damages, including, but not limited to, any claim for personal injuries arising out of any gymnastics activities at Arena Gymnastics, Inc., and to hold Arena Gymnastics, Inc. harmless from any claim that may be brought against it arising out of use of the Arena facilities by the student. The undersigned has reviewed this statement, understands that he/she is hereby waiving any right to bring a claim arising out of the use of Arena Gymnastics Inc.’s facilities, except in the case of gross negligence on the part of Arena Gymnastics, Inc., and knowingly makes such waiver.

 

Signature of Parent/Guardian_______________________________________________Date________________________________