(905) 836-6401

2021 Fall Recreational Registration Form

Please select one of the choice above. Note that Monday classes in Session I are only 7 weeks in duration due to the Thanksgiving Holiday on Monday, October 11th.
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.

Child Information

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Parent / Guardian Information #1


Parent / Guardian Information #2 (optional)


Emergency Contact

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

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.


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. If three people are referred, the referrer will receive a $50.00 discount, rebate or credit. Please note that referrals are only paid for new members who have not attended a Tumbletot program within the past 24 months.

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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.