2023/2024 Winter Recreational Registration Form

Program *

Please select one of the programs above. If you are unsure what program is most appropriate, please contact us and we will help you make a determination.

Twinkle Tots Timeslot *

Tumblebugs Timeslot *

Grasshoppers Timeslot *

Little Ninjas Timeslot *

Tuesday, 4:30PM
Saturday, 12:30PM

Junior Ninjas Timeslot *

Tuesday, 5:30PM
Saturday, 1:30PM

Hi Flyers I Timeslot *

Hi Flyers II Timeslot *

Monday, 6:30PM (Mixed)
Saturday, 2:30PM (Mixed)

Advanced Hi Flyers Timeslot *

Wednesday, 5:30PM
Friday, 4:30PM
Saturday, 12:30PM

Tiny Stars Girls Timeslot *

Mondays @ 5:30-7:00 and Fridays @ 4:30-6:00

Gyminee Crickets Boys Timeslot *

Saturday, 10:00AM

Elite Petite Girls Timeslot *

Tuesday and Friday, 4:30-6:30PM

Performance Team Timeslot *

Wednesday, 7:30PM

Trampoline Timeslot *

Monday, 5:30PM
Thursday, 4:30PM

Advanced Trampoline Timeslot *

Monday, 6:30PM
Thursday, 5:30PM

Homeschool Timeslot *

Thursday, 11:30AM

Are you a current member?

YES
NO
I'm unsure

Help us streamline your registration process by letting us know if you have registered for a Tumble Tot Co. program before.

Child Information

Athlete's Name *

First

Last

Gender *

Male
Female

Date of Birth *

Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Does your child have allergies, medical concerns, special needs or dietary restrictions that we should be aware of? *

Yes
No

If you answered yes to the previous question, please provide details

Parent / Guardian Information #1

First Parent / Guardian *

First

Last

First Parent / Guardian Phone or Cell Phone *

First Parent / Guardian Email *

Email

Confirm Email

Preferred method of communication *

Phone
e-Mail

Parent / Guardian Information #2 (optional)

Second Parent / Guardian

First

Last

Second Parent / Guardian Phone or Cell Phone

Second Parent / Guardian Email

Emergency Contact

In the event of emergency, where one of the guardians above cannot be reached, please provide an alternate emergency contact.

Emergency Contact Name *

First

Last

Relationship to Child *

Phone #1 *

Phone #2 (optional)

Authorized Pickup Person (Optional)

If you would like to authorize someone else such as a grandparent or relative to pick up the camper at the end of the day, please enter their name and contact information below.

Please note that the person picking up the child will be required to provide identification.

Given Name

Surname

Relationship to Child

Phone Number

Referrals

The Tumble Tot Co. are offering a referral bonus to parents that recommend Tumbletot programs to friends and family. Please enter the name of a person that you wish to refer. For each person referred that confirms a registration, the referred person will receive a $25.00 discount for the associated recreational program. The referrer will also receive a $25.00 discount, rebate or credit when any of the people referred register. Please note that referrals are only paid for new members who have not attended a Tumbletot program within the past 24 months.

First name

This field is required when making a referral

Last name

This field is required when making a referral

Phone # of person being referred

Please provide the phone number if it is available

Email address of person being referred

This field is required when making a referral

Person who referred you

If you are a new customer and were referred by another Tumble Tot customer, please enter their full name below to make sure that they receive credit for the referral.

First name

Lastname

How did you hear about us?

Please let us know how you learned about Tumble Tot Co. programs

Informed Consent Agreement

I, the undersigned, hereby agree to indemnify and save harmless The Tumble Tot Co. of Newmarket, their/its officers, instructors, coaches, employees, members and clubs against all claims, demands, damages, actions, suits or proceedings arising out of participation of myself/my child, named above, in any gymnastic activity.
I, the undersigned, hereby acknowledge that certain risk of injury are inherent to participation in hand on science, arts and physical fitness & gymnastics activities. These types of injuries may be minor or serious and may result from one’s own actions, or the actions of others, or combination of both.
I, hereby warrant that my child is physically fit to participate and understand that the choice to participate brings with it the assumption of those risk and results which are part of these activities.
I agree to allow my child to receive basic first aid/medical care from instructors/coaches certified in first aid if necessary.
The Tumble Tot Company reserves the right to use photographs of members for promotional purposes. If you do not wish your child’s photograph to be taken please notify The Tumble Tot Company in writing.
Refund will not be given. A credit will be applied to a future program for medical reasons only if the request is made in writing and accompanied by a doctor’s note. There is a $30.00 admin fee for this service. A charge of $50.00 will be levied on all NSF cheques.
I declare having read and understand the above informed consent agreement in its entirety and hereby consent to participate acknowledging all the foregoing. I also certify that the information provided in this form is, to my knowledge true and complete.

Consent *

I agree to the above terms. Signature on hardcopy form will be required on the first day of classes.

2023/2024 Winter Recreational Registration Form

Child Information

Parent / Guardian Information #1

Parent / Guardian Information #2 (optional)

Emergency Contact

Authorized Pickup Person (Optional)

Referrals

Person who referred you

How did you hear about us?

Informed Consent Agreement

Office Hours (in person)

Recent Post

Contact Info