Registration Form Which Elite location are you registering for?*MilledgevilleSandersvilleWhat are you registering for?GymnasticsDanceCheerKarateCheernasticsGym/Dance ComboElite Kidz ZoneSummer CampsTumblingJump For JesusFUNdamentalsChild's First and Last Name*Child's Age*Birthdate*Grade*SchoolLakeview PrimaryLakeview AcademyMidway Hills PrimaryMidway Hills AcademyJMAGMCMilledgeville PrepMontessori AcademyPrimary Phone*Parent's Email* Mailing Address*City*Zipcode*State*Mother's Name*EmployerCell Phone NumberWork Phone NumberFather's Name*EmployerCell Phone NumberWork Phone NumberEmergency Contact 1 Name*Relationship*Phone Number*Emergency Contact 2 Name*Relationship*Phone Number*Any health problems?*YesNoIf yes, please explainAny allergies?*May Elite use pictures taken during class or events that include my child on their website or facebook page.(Note: Pictures cannot be tagged. Elite administrator must send them to you if desired.)*YesNoPayment Terms* I understand that payment for each 4 week session must be paid in advance in order for my child to attend class.I authorize Elite and its employees to act on my behalf according to their best judgment in any emergency requiring medical attention for my child. I give Elite permission to take pictures and videos of my child to use on Elite’s website and social media. I acknowledge that participation in the recreational programs offered by Elite involves inherent risk of physical injury, including catastrophic injury or death. I acknowledge that participation in such programs may require my child to be in close proximity or contact with others, which may put my child or persons my child comes in contact with at risk for communicable illness and disease. I acknowledge that certain programs involve travel in vehicles owned or operated by Elite and I acknowledge the risk of vehicular accidents. Knowing the risks described above, I agree, on behalf of myself and the minor child named below, to assume all such risks and, to the fullest extent of the law, I release, hold harmless, and agree to indemnify Elite, its owners, agents, and employees, from and against any present or future claim, loss, or liability for injury which said minor child may suffer or for which said minor child may be liable to any other person, related to the child’s participation in Elite programs on or off the premises, including injuries resulting from alleged negligence on the part of Elite, and I agree to assume all medical costs resulting from such injuries.Accept Release:* I understand and accept the terms of the above release.Elite Kidz Zone and Summer Camp +After school and summer camp fees are due in advance. +Weekly tuition will be drafted from the debit or credit card on your account. +Students who ride the Elite vans are charged weekly during the school year regardless of absenteeism. +The special weekly rate of $35 will not be reinstated if the child leaves for any length of time during the school year. +Scheduled school breaks such as Fall, Winter, and Spring break will incur additional fees comparable to Summer Camp fees daily or weekly. +If your child does not attend at all during these normally scheduled school breaks, a $10 holding fee will be charged for the week. +Weekly fees will not be prorated due to inclement weather closings. +You must notify Elite if your child is absent from school or is a car rider for any reason. Students dropping from the after school program must provide a minimum of one week notice. If student drops without notice, there will be a charge drafted for that week.*The special weekly rate of $35 for Kidz Zone will NOT be reinstated if the child drops for any length of time during the school year.Annual Registration Fee: $25 This fee will be debited annually from the debit or credit card you provide on the anniversary month. Class tuition is due on the 1st day of each month. If special arrangements are needed to split tuition into two payments, please see management for written form. Tuition will be drafted monthly on the 1st day of each month from the debit or credit card that you provide. If your child will not be in attendance for a specific month we must have a drop form filled out BEFORE the 1st of the month in order to stop the draft. Verbal requests are not accepted as we have no way to track this. No refunds will be issued for late drops. Tuition is due regardless of absenteeism. Note: Elite School reserves the right to terminate any student without notice if management feels the circumstances warrant such action. Accept Fees & Tuition* I agree to the Tuition and Fee Policies listed above.All tuition is due regardless of absenteeism. If your child is absent due to illness or schedule conflict you may request a makeup class. Pending availability, a class will be offered. Our normal policy is one per month but if special circumstances warrant otherwise, management may make arrangements to accommodate. There are no makeup classes for holidays or inclement weather and refunds will not be issued for these missed classes. No refunds will be issued for absenteeism for any reason unless approved directly through management in extreme situations.Accept Make-up Policies* I have read and understand the Make-up Policies.My child may be released to the following:Additional Notes/CommentsCAPTCHA
