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Special Events at Northwest Aerials

PARENT'S NIGHT OFF (See below)
BACK HANDSPRING CLINIC (See below)
TRAMPOLINE CLINIC (See below)
OPEN GYM Kirkland Only: Thursdays 1:30-2:30pm & Saturdays 12:00-1:00PM, current students $8/person.  Ages 4 & under need to be accompanied by an adult.  Punch cards are available to purchase.

Extra Gym:  Snohomish Gym:  Friday February 15th:  3:00-4:00pm
Kirkland Gym:  Wednesday & Thursday February 20th & 21st:  1:30-2:30pm

NORTHWEST AERIALS PRESENTS...
PARENT’S NIGHT OFF
LET US WATCH YOUR KIDS WHILE YOU HAVE AN EVENING OUT!!

AGES 3 AND UP
(must be potty trained)

GYMNASTICS!TRAMPOLINE!CRAFT!
PIZZA DINNER!ICE CREAM SUNDAES!FUN!
(May & June include swimming at Kirkland location only)
Friday 
February 8th (Kirkland)
March 14th (Kirkland)
April 4th (Kirkland)
May 9th (Kirkland)**Includes Swimming

Saturday
February 16th (Kirkland)
March 8th (Kirkland)
April 19th (Kirkland)
May 17th (Kirkland)**Includes Swimming
June 14th (Kirkland)**Includes Swimming

6:00-10:00PM

FEE:  $26/PERSON
(IF PAID 2 DAYS PRIOR TO THE EVENT)
*ADDITIONAL SIBLINGS $5 OFF IF PAID 2 DAYS PRIOR TO THE EVENT
($30/PERSON IF PAID LESS THAN 2 DAYS PRIOR TO THE EVENT)
PLACE:  12440 128TH LANE NE, KIRKLAND
(425)823-2665*www.NWAERIALS.COM

PARENT’S NIGHT OFF REGISTRATION

NAME:  _______________________  AGE:  _________

 PHONE #:  _____________  EMERGENCY #:  _________

TOTAL AMOUNT ENCLOSED: $__________

SORRY NO REFUNDS, CREDITS OR TRANSFERS ON FEES

PLEASE RETURN THIS FORM AND FEES TO THE NWA OFFICE. 
SPACE IS LIMITED! 

ANY QUESTIONS??CALL (425)823-2665. 

* NON-MEMBERS MUST HAVE A REGISTRATION CARD ON FILE

_________________________________________________________________

NORTHWEST AERIALS PRESENTS…

12440 128TH LANE NE, KIRKALND*98034*(425)823-2665

aerials99@aol.com*www.nwaerials.com

BACKHANDSPRING CLINIC

$15 /person (if
paid 2 days
prior to the event)

AGES 4 & UP

Sunday
january 27th 11:30-1:00pm (snohomish)
february 3rd 11:30-1:00pm (kirkland)
march 2nd 11:30-1:00pm (kirkland)
March 16th 11:30-1:00pm (Snohomish)
April 6th 11:30-1:00pm (Kirkland)
May 4th 11:30-1:00pm (Kirkland)
May 18th 11:30-1:00pm (snohomish)
june 8th 11:30-1:00pm (kirkland)

SPACE IS LIMITED, PRE-REGISTRATION IS REQUIRED.

BACKHANDSPRING CLINIC REGISTRATION

NAME:  _________________________________________ 
AGE:  _____________________

PHONE #:_________________________ 
EMERGENCY #: __________________________

  EMAIL:                     
TOTAL AMOUNT ENCLOSED: $__________

SORRY NO REFUNDS, CREDITS OR TRANSFERS ON FEES

PLEASE RETURN THIS FORM AND FEES TO THE NWA OFFICE.  SPACE IS LIMITED! 
ANY QUESTIONS??CALL (425)823-2665 
*PHONE REGISTRATION ACCEPTED WITH VISA/MASTERCARD PAYMENT.

MEDICAL AUTHORIZATION AND RELEASE
The  above student(s) has my approval to participate in the back handspring clinic organized by Northwest Aerials, Inc.  I understand that like all physical activities, participation in gymnastics & trampoline carries with it a reasonable degree of risk and agree that neither Northwest Aerials, Inc., nor its officers, directors, operators, agents or instructors may be held liable in any way for any occurance in connection with the student’s participation in the backhandpring clinic which may result in serious injury or other damages to me, my family, heirs or assigns.  In consideration of being allowed to participate in such programs, I further personally assume all risks in connection therewith, whether foreseen or unforeseen, and further to save and hold harmless said corporation, its officers, directors, operators, agents or instructors from any claim by me, my family, estate, heirs, or assigns arising out of such participation

  I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS.  I AM AWARE THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN ME AND NORTHWEST AERIALS, INC., AND I HAVE SIGNED THIS OF MY OWN FREE WILL. 

  I, as parent or guardian of _____________________________give my permission for him/her to participate in the backhandspring clinic and in consideration of his/her participation, agree individually and on behalf of him/her to the terms of the above agreement and release of liability.

  Northwest Aerials, Inc. has my permission to secure emergency medical attention if I cannot be reached immediately.

 Parent/Guardian or Student (if over 18) Signature:  ______________________________  Date:  ___________

_________________________________________________________________________________________________

TRAMPOLINE CLINICS

$15 /person
(if paid 2 days prior to the event)

AGES 4 & UP

Sunday
january 27th  1:00-2:30pm (snohomish)
february 3rd  1:00-2:30pm (kirkland)
march 2nd1:00-2:30pm (kirkland)
March 16th 1:00-2:30pm (Snohomish)
April 6th1:00-2:30pm (Kirkland)
May 4th 1:00-2:30pm (Kirkland)
May 18th 1:00-2:30pm (snohomish)
june 8th 1:00-2:30pm (kirkland)

SPACE IS LIMITED, PRE-REGISTRATION IS REQUIRED.

TRAMPOLINE CLINIC REGISTRATION

NAME:  _________________________________________ 
AGE:  _____________________

PHONE #:_________________________ 
EMERGENCY #: __________________________

  EMAIL:                     
TOTAL AMOUNT ENCLOSED: $__________

SORRY NO REFUNDS, CREDITS OR TRANSFERS ON FEES

PLEASE RETURN THIS FORM AND FEES TO THE NWA OFFICE.  SPACE IS LIMITED! 
ANY QUESTIONS??CALL (425)823-2665 
*PHONE REGISTRATION ACCEPTED WITH VISA/MASTERCARD PAYMENT.

MEDICAL AUTHORIZATION AND RELEASE
The  above student(s) has my approval to participate in the trampoline clinic organized by Northwest Aerials, Inc.  I understand that like all physical activities, participation in gymnastics & trampoline carries with it a reasonable degree of risk and agree that neither Northwest Aerials, Inc., nor its officers, directors, operators, agents or instructors may be held liable in any way for any occurance in connection with the student’s participation in the trampoline clinic which may result in serious injury or other damages to me, my family, heirs or assigns.  In consideration of being allowed to participate in such programs, I further personally assume all risks in connection therewith, whether foreseen or unforeseen, and further to save and hold harmless said corporation, its officers, directors, operators, agents or instructors from any claim by me, my family, estate, heirs, or assigns arising out of such participation

  I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS.  I AM AWARE THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN ME AND NORTHWEST AERIALS, INC., AND I HAVE SIGNED THIS OF MY OWN FREE WILL. 

  I, as parent or guardian of _____________________________give my permission for him/her to participate in the trampoline clinic and in consideration of his/her participation, agree individually and on behalf of him/her to the terms of the above agreement and release of liability.

  Northwest Aerials, Inc. has my permission to secure emergency medical attention if I cannot be reached immediately.

 Parent/Guardian or Student (if over 18) Signature:  ______________________________  Date:  ___________

____________________________________________________________

____________________________________________________________________