Wufoo
VIP PASS REGISTRATION
NEW VIP Membership - Come tumble whenever the gym is open for practices or open gym!
We have so many of our team members who want to be at the gym ALL THE TIME, so we are introducing the Shockwave VIP membership option!
Available ONLY to current Shockwave team members (not available to non team members).
Only VIP members will be allowed to use gym facilities outside of their regular practice time.
Open-gym style tumbling
Summer VIP hours - (athletes can attend VIP hours in Rockville and/or Frederick - does not matter at which location you cheer)
Rockville - Tuesday, Wednesday and Thursday from 4pm-9pm, Fridays from 6pm-8pm
Frederick - Mondays from 4:30-7:30, Wednesday and Thursday 4:00pm-8:30pm
VIP Pass - $45 per month (will be charged monthly along with team tuition)
(VIP pass does not include camp hours, holidays, gym closures)
Additional hours will be included when the regular season schedule resumes in September at no additional charge
Participant's Name
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Participant's Date of Birth
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Parent Name
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Parent Email
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Parent Phone Number
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Emergency Contact Name
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Emergency Contact Phone Number
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Please complete the following section to have the VIP fee automatically charged to your credit card. VIP fee will be charged to Member’s credit card along with monthly team tuition.
Mastercard
Visa
American Express
Cardholder Name
First
Last
Credit Card Number
Expiration Date
3 or 4 digit security code
I am fully aware that any activity involving motion, height, athletic activity, and/or gymnastic /equipment (ie Tumbl-Trak®, trampoline, etc) creates the possibility of serious injury, and I further agree to hold Shockwave and its staff and officers harmless for any injury or resulting expenses. I release and discharge all rights and claims against Shockwave and its parties.
Further, I, on my own behalf and on the behalf of the Participant, am fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis and even death, as well as other damages and losses associated with the use of Shockwave Allstar’s premises and facilities and the participation in the programs, practices, lessons, classes, clinics, competitions and other activities organized and/or offered by Shockwave Allstars. I, in my own behalf and on the behalf of the Participant, knowingly and willingly assume such risks.
Parent/Guardian Signature
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Do Not Fill This Out