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Kids Club Waiver

 

Cherry Valley Investments Inc. encompasses Gigueres, Gigueres Dance, and Gigueres Trampoline. For this waiver, the use of the word Gigueres will represent all businesses under Cherry Valley Investments Inc.

This waiver is specifically for those who have a child(ren) enrolled in Kids Club, our remote school support and after school program.

ANNUAL REGISTRATION FEE: This fee is good for one year from date of enrollment and is never refundable. The annual registration fee is $40 for the first participant, $30 for the 2nd, and any further immediate family members participating in programs at Gigueres are free.

I Agree

WEEKLY TUITION: Families are required to keep a working credit card on file. The credit card on file will be charged automatically for all current charges on the Thursday before every week. If a family would like to use a different form of payment it needs to be done by Wednesday. There are no refunds for missed days in Kids Club.

I Agree

ATTENDANCE: Drop off times are 8:00-8:30 (remote and full day) and 2:30-3:30 (after school). Families are required to notify Kids Club if they will be dropping off outside of these times. Children will be marked absent if they are not present during these times, and have failed to notify us prior.  

I Agree

UNENROLLMENT: Unenrollment may be done with written notice two weeks prior to the last day in Kids Club. Payment for these two weeks is still due. Failure to correctly unenroll could result in being responsible to pay for additional weeks.

I Agree

CREDIT CARDS: If Gigueres is not able to successfully charge the credit card on file, a $20 fee will be assessed to the account. Further failed attempts to charge a credit card will result in removal from the program.

I Agree

COVID-19 WAIVER 

I understand and agree that:

I will drop off pick-up/drop-off only at the designated area.

Both me and my child (ren) will wait to enter the facility until requestd by the greeter/screener.

Only one parent or non-participating individual will be allowed to enter the building at the main entrance if necessary.

I am required to wear a mask when entering Gigueres, per state order.

I am aware that my child may be required to wear a mask where physical distancing is not possible, but not while exercising or while within their assigned station. 

I will support the social distancing standard of 6’ to 10’ while at the gym .

Practice start and end times will be staggered to insure time for the children to get in and out of the gym safely, to provide time to wipe down the equipment between each practice and for teachers to thoroughly wash their hands.

My child (ren) will have regular opportunities to use the hand sanitizing stations available in all areas of the facility.

Upon entering the building, I agree that my child may be required to use hand sanitizer or wash their hands. 

I am aware that I may be asked screening questions upon my child’s arrival and my child’s temperature may be taken. 

I am aware that no outside shoes are allowed in the training areas of the building.

My child (ren) will bring his/her clearly marked bag to the gym each day with all recommended items included.

I will have my child (ren) wash hands and feet thoroughly upon arriving back home and her bag will be cleaned upon arriving home and again before she brings it back into the gym.

I agree to keep my child (ren)  home if she/he or anyone in my family is coughing, has a temperature over 100, or other Covid-19 symptoms. I will be performing the required at home screening prior to bringing my child. My child (ren) will be screened by the greeter/screener and any Yes answers will result in my child (ren) not being allowed to participate in the program/enter. 

I understand and agree that these procedures will change and evolve over time and that I will follow any new standards required by the local Board of Health, the EEC, the Commonwealth of Massachusetts and/or Gigueres. I understand that the staff and everyone at the gym will make a strong effort to maintain social distancing but that there will be times when incidental contact and less than prescribed physical distancing will occur. I am aware and agree that incidental contact and inability to maintain social distancing may occur in order to keep my child (ren) safe and to prevent injury. Staff will be wearing masks at all times and sanitizing their hands before and after contact with each child. I further understand that I am voluntarily allowing my child to participate in programs and activities offered by Gigueres, knowing that it is impossible to keep him/her, myself or anyone else who enters the gym completely safe from exposure to any infectious disease. My signature is my understanding of, and acceptance of the risks.

I Agree

Cherry Valley Investments, Inc. dba Gigueres Acknowledgment and Assumption of Risk:

I request for any of my children to participate in gymnastics, day care or nursery school, dance, trampolining, kung fu or any other activity at Gigueres and to receive instruction in such subjects from Gigueres' staff and associates.  I understand that such participation and instruction require the performance of physical exercises by my child which necessarily involves the risk of personal injury, including severe paralysis or even death to my child. Neither my child nor myself are under compulsion by Gigueres, its officers, teachers, employees and associates to participate in this program nor am I being paid to do so.  My child's interest is solely in the activities at Gigueres and his/her self-improvement and I willingly accept the risk inherent in this pursuit.  In consideration for allowing my child to use these facilities, I hereby forever release Gigueres, its officers, employees, teachers and associates from all liability for any and all damages and injuries suffered by my child in connection with said use of these facilities.  This acknowledgment of risk and waiver, having been read thoroughly and understood completely is signed voluntarily as to its content and intent.

I represent and warrant that if I am purchasing something or paying for a service from this facility or from other merchants through this facility that (i) any credit card or bank account draft (ACH Draft) information I supply is true and complete, (ii) charges incurred by me will be honored by my credit card company or financial institution, and (iii) I will pay the charges incurred by me at the posted prices, including any applicable taxes, fees, and penalties.

I hereby authorize (if online payment is made or autopay information is provided) this facility to charge my ACH draft, or credit card account. I understand that a 15 day written notice is required to terminate billing and I am responsible for payment whether or not my student attends classes until I notify this facility in writing to drop my student from class(es).

Should I dispute a charge through my financial institution this will constitute a breach of contract possibly resulting in, but not limited to, penalties, additional fees, collection, legal action, and/or termination of any and/or all current and future services.

I Agree

 

 

 

  

 

First Child's Name

First Name*

Last Name*

Phone*
First Child's Date of Birth*
I certify that I am 18 years of age or older
First Child's Signature*
Second Child's Name

First Name*

Last Name*
Second Child's Date of Birth*
Third Child's Name

First Name*

Last Name*
Third Child's Date of Birth*
Fourth Child's Name

First Name*

Last Name*
Fourth Child's Date of Birth*
Fifth Child's Name

First Name*

Last Name*
Fifth Child's Date of Birth*
Sixth Child's Name

First Name*

Last Name*
Sixth Child's Date of Birth*
Seventh Child's Name

First Name*

Last Name*
Seventh Child's Date of Birth*
Eighth Child's Name

First Name*

Last Name*
Eighth Child's Date of Birth*
Ninth Child's Name

First Name*

Last Name*
Ninth Child's Date of Birth*
Tenth Child's Name

First Name*

Last Name*
Tenth Child's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Photo Release
I am aware that individual and group publicity photos and videos are taken from time to time and in consideration for me or my child(ren) participation, I hereby grant my permission for my child(ren) likeness to be used in Gigueres publicity or advertising*
Accept
Decline
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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