Brandywine Springs Elementary: Grades 1 to 5 Girls & Boys

Brandywine Springs Elementary: Grades 1 to 5 Girls & Boys Spring 2015

WHERE: 380 Water Street, Newport, DE 19804 WHEN: Thursdays – March 12th, 19th, 26th; April 2nd, 16th, 23rd, 30th , May 7th DRESS INFORMATION: Leotards, sweat suit, warm-up suit, or shirt & shorts (No tights for safety reasons) (No sneakers – bare feet in the gym) CLASS INFORMATION: 45 min. instructional period / 7-1 student/teacher ratio (Limit 20) TRANSPORTATON: from B.S.E.S. to Olympiad Gymnastics, 380 Water Street 3:30 – 3:40 PM – Olympiad Van pick up at B.S.E.S. 4:05 – 4:50 PM – Instructional Period at Olympiad 4:50 PM – Parent picks up child at 380 Water Street, Newport Gym 5:00 PM – Cub Care Parents pick up children at 380 Water Street, Newport Gym REGISTRATION: Is at B.S.E. on a 1st come – 1st serve basis. For further class information, call Olympiad at 302-636-0606 PAYMENT PLAN: Eight (8) Weeks @ 17.00 a week = $136.00 (includes one-way transportation) REGISTRATION FEE: $5.00 for existing students & $30.00 per NEW Student (Due with registration form) Payment is due at registration by cash or CC (no checks accepted) NOTICE: This is an After School Program organized by B.S.E. &Olympiad Gymnastics School. This program is not a part of B.S.E. curriculum. MAKE-UP-POLICY – Call 302-636-0606 to schedule make-up classes missed due to illness only. REFUND POLICY – Non-refundable or extendable (except for classes cancelled due to weather) OBSERVATION POLICY – Parents are always welcome to observe their child’s gymnastic class. ------

REGISTRATON FORM: B.S.E After School Gymnastics Program – Thursdays, Spring 2015 – Water Street Gym

NAME: ( ) Female ( ) Male AGE: _____ BIRTHDATE:

PARENT’S NAME:______EMAIL ADDRESS: ______

STREET: ______HOME PHONE: (

CITY: ______STATE: _____ ZIP: DAYTIME PHONE:

B.S.E. CLASSROOM: ______FIRST COME, FIRST SERVED BASIS – LIMITS APPLY

Visa & Mastercard Accepted: ______AMOUNT ENCLOSED: $ (plus registration fee if applicable)

Credit Card #: EXPIRATION DATE:

Cardholder’s Name (as printed on card):

3 Digit Security Code: Address card is billed to:

Payment Agreement: I understand that any and all monies paid are non-refundable. Liability & Legal Release: As the legal parent or guardian, I understand that there are inherent risks involved in gymnastics and I hereby release and hold harmless Olympiad Schools, Inc. FlipKidz Gymnastics LLC, its owners, school directors, staff, and instructors from any and all liability or damage claims that could occur. I understand that photos of my child may be used in promotional materials, as well as the website and/or Facebook for the purpose of sharing.

Parent/Guardian’s Signature: Date:

FlipKidz.com Caution: Any activity involving motion, rotation, or height may cause accidental injury.

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