Flips, Turns and Balance Registration – Winter 2026

Flips, Turns and Balance Registration Form *

January 6th - March 10th, 2026

RECREATIONAL PROGRAM *

TUESDAY (2.5 - 3.5 yrs) - 4:30 - 5:00 pm (parent & tot) - 4 SPOTS TUESDAY (4 - 6 yrs) - 5:00 - 6:00 pm - 5 SPOTS TUESDAY (7+ yrs) - 6:00 - 7:30 pm - 4 SPOTS WEDNESDAY (4 - 6 yrs) - 4:00 - 5:00 pm - 1 SPOT WEDNESDAY (4 - 6 yrs) - 5:00 - 6:00 pm - BOYS ONLY - 1 SPOT WEDNESDAY (8 + yrs) - 6:00 - 7:30 pm - FULL THURSDAY (4 - 5 yrs) - 4:30 - 5:30 pm - 6 SPOTS THURSDAY (5 - 6 yrs) - 5:30 - 6:30 pm - 3 SPOTS THURSDAY (6 - 7 yrs) - 6:30 - 7:30 pm - 5 SPOTS

Child Name *

First

Last

Gender *

Date of Birth *

Parent/ Guardian Name *

First

Last

Address: *

Phone Number *

Email Address *

Emergency Contact Name & Phone Number *

Is there anything regarding your child we should be aware of (medical, etc) ? *

Informed consent agreement: Print Your Name and the date *

I, the undersigned, hereby agree to indemnify and save harmless Willowjays of Sunderland, their/its, instructors, coaches, employees, members 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 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. • Willowjays 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 Willowjays in writing. • 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.

Bill 186, Growing Agritourism Act, 2024: Print your name and date *

WARNING: under Ontario law, an agritourism provider is not liable for the death or injury or illness of a participant in an agritourism activity conducted at this agritourism location if that injury or death or illness results from the inherent risks of that agritourism activity. Inherent risks of agritourism activities include, but are not limited to, the risk of injury inherent to land, equipment and animals as well as the potential for you as a participant to act in a negligent manner that may contribute to your injury or death. You are assuming the risk of participating in this agritourism activity. https://www.ola.org/en/legislative-business/bills/parliament-43/session-1/bill-186

READ & SIGN TO VIEW THE CLASS INSIDE THE GYM: "Parent Presence Liability Waiver and Release of Responsibility" (Print your name and date)

Purpose: This waiver is to acknowledge that the parent/guardian understands and accepts full responsibility for any injuries or incidents that may occur to their child as a result of the parent’s presence, actions, or interference while inside the gym facility during gymnastics classes. Acknowledgment of Risk I, the undersigned parent/guardian, understand that gymnastics is a physical activity that carries inherent risks, including but not limited to: Falls, sprains, or fractures Collisions with equipment or other participants Improper landings or movements Physical or emotional injuries I also understand that allowing parents to be inside the gym area during classes may increase the risk of distraction or interference that could lead to injury. Parental Responsibility Clause I acknowledge and agree that: I am responsible for maintaining a safe and non-distracting distance from all equipment, participants, and coaches. I will not coach, instruct, or direct my child during class in any way. If my actions, distractions, or presence in any manner contribute to an injury or unsafe situation, I accept full personal responsibility and liability. I release and hold harmless the gym, its owners, staff, coaches, volunteers, and affiliates from any and all liability for injury, loss, or damage to my child or myself arising from my presence inside the gym. Release of Liability In consideration of my child being permitted to participate in gymnastics classes while I am present inside the gym, I hereby release, waive, and forever discharge the gym, its owners, officers, employees, and volunteers from any claims or demands arising out of or in connection with any injury, accident, or loss that may occur to my child or myself due to my presence or actions within the gym area. Assumption of Risk I voluntarily choose to be inside the gym and fully assume all risks associated with doing so. I understand that my presence may increase the likelihood of injury and that the gym and its staff are not responsible for supervising me or my actions. Indemnification I agree to indemnify and hold harmless the gym, its employees, and affiliates from any and all claims, damages, or expenses (including legal fees) that result from my presence or actions while inside the gym. By printing my name and date above , I acknowledge and confirm that I have read, understood, and voluntarily agree to the terms of this waiver and release of liability.

PHOTOGRAPHED TERMS *

I give consent for my child to be photographed for promotional purposes I do not give permission for my child to be photographed

PAYMENT OPTIONS *

(PLEASE TYPE YOUR PAYMENT CHOICE ABOVE) PAYMENT IS DUE IN FULL TO SECURE YOUR SPOT. All ETF payments is subject to HST. Send ETF payments to renee@willowjays.ca (please put your child's name in the subject line)

FAQS, FEE'S, PROGRAM SCHEDULE *

I have read and understand all FAQS, program scheduling and fee's.