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Kids Club Waiver

 

Cherry Valley Investments Inc. encompasses Gigueres, and Gigueres Dance. 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 after school program.

ANNUAL REGISTRATION FEE: This fee is good for one year from date of registration 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 Friday before every week. If a family would like to use a different form of payment it needs to be done by Thursday. There are no refunds for missed days in Kids Club.

I Agree

ATTENDANCE: Families are required to notify Kids Club if their child will be absent or arriving at a different time. Failure to habitually notify us may result in suspension/termination. 

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

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 Age Acknowledgment*
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

First Name*

Last 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.


By signing below the parent or court-appointed legal guardian agrees that they are also 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 Age Acknowledgment*
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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