Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.1Contact Information2Emergency Contact Information3Consent4Class Registration5PaymentChild Name *FirstLastGender *--- Select Choice ---MaleFemaleDate of Birth *Parent/Guardian Name *FirstLastAddress *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPhone *Email *NextEmergency Contact Name *FirstLastPhone *Is there anything we should be aware of about your child (medical, etc) ?NextInformed consent agreement: Signature to agree * Clear Signature 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 gymnastics 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: Signature to agree * Clear Signature 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. If this registration is for a person under the age of 18, I hereby sign on their behalf as there guardian. https://www.ola.org/en/legislative-business/bills/parliament-43/session-1/bill-186READ & SIGN Parent & Viewing Policy : Signature to agree * Clear Signature To provide the safest and most positive learning environment for all participants, coaches and parents; spectators are not permitted inside the gymnastics barn during class time. Children are often more focused, confident, and willing to participate when they can work independently with their coaches and classmates. Limiting traffic in the gym also helps reduce distractions, allows coaches to maintain students' attention, and supports a safe training environment. Parents are welcome to wait in the viewing barn or return at the scheduled pick-up time. Our coaches are always happy to answer any questions before or after class. We encourage you to speak with your coach if you would like an update on your child's progress. Thank you for your understanding and for helping us create a safe, focused, and enjoyable experience for every gymnast.PHOTOGRAPHED TERMS *I give consent for my child to be photographed for promotional purposesI do not give permission for my child to be photographedDate & Time Form Signed *DateTimeNextTUESDAY4 - 6 yrs - 4:00pm - 5:00pm (60 mins) - $392.007+ ADVANCED - 5:10pm - 6:40pm (90 mins) (Registration accepted by Renée) - $525.007 - 9 yrs - 6:45pm - 7:45pm (60 mins) - $392.0014 Classes - Sept 15th - Dec 15th, 2026WEDNESDAY4 - 6 yrs - 4:30pm - 5:30pm (60 mins) - $392.004 - 6 yrs BOYS ONLY - 5:40pm - 6:40pm (60 mins) - $392.0010+ - 6:45pm - 7:45pm (60 mins) - $392.0014 Classes - Sept 16th - Dec 16th, 2026THURSDAY2.5 - 4 yrs - PARENT & TOT - 4:30pm - 5:00pm (30 min) - $210.004 - 6 yrs ADVANCED - 5:10pm - 6:10pm (60 mins) - $392.0014 Classes - Sept 17th - Dec 17th, 2026FAQS, FEE'S, PROGRAM SCHEDULE *I have read and understand all FAQS, program scheduling and fee's.PreviousNextPAYMENT OPTION *--- Select Choice ---CASHETF: Send ETF payments to renee@willowjays.ca (please put your child's name in the subject line)CREDIT CARD: Stripe processing fee's will apply 2.9% + C$0.30 per transaction(PLEASE CLICK YOUR PAYMENT CHOICE) PAYMENT IS DUE IN FULL TO SECURE YOUR SPOT AND COMPLETE REGISTRATION. Credit Card Fee's$0.00Harmonized Sales Tax (HST) 13%$0.00Credit Card ? TUESDAY SCHEDULE Total * Order Summary Item Quantity Qty Total There are no products selected. TUESDAY - 4 - 6 yrs - 4:00pm - 5:00pm (60 mins)1$392.00TUESDAY - 7+ ADVANCED - 5:10pm - 6:40pm (90 mins) (Registration accepted by Renée)1$525.00TUESDAY - 7 - 9 yrs - 6:45pm - 7:45pm (60 mins)1$392.00WEDNESDAY - 4 - 6 yrs - 4:30pm - 5:30pm (60 mins)1$392.00WEDNESDAY - 4 - 6 yrs BOYS ONLY - 5:40pm - 6:40pm (60 mins)1$392.00WEDNESDAY - 10+ - 6:45pm - 7:45pm (60 mins)1$392.00THURSDAY - 2.5 - 4 yrs - PARENT & TOT - 4:30pm - 5:00pm (30 min)1$210.00THURSDAY - 4 - 6 yrs ADVANCED - 5:10pm - 6:10pm (60 mins)1$392.00PAYMENT OPTION - CASH1$0.00PAYMENT OPTION - ETF: Send ETF payments to renee@willowjays.ca (please put your child's name in the subject line)1$0.00PAYMENT OPTION - CREDIT CARD: Stripe processing fee's will apply 2.9% + C$0.30 per transaction1$0.00Credit Card Fee's1$0.00Harmonized Sales Tax (HST) 13%1$0.00Total$0.00 $0.00Payment StatusPendingPaidPreviousSubmit