Pause Billing

High Risk Individuals

Elevate Gymnastics is committed to the safety of all our athletes, staff, and their families. While following along suit with the Governor’s Utah Leads 2.0 initiative and the “orange” color coded risk level of the State we are allowing all “high risk” individuals or anyone living in the same household as a “high risk” individual to continue pausing their account.

High-risk individuals would include all people who meet any of the following criteria as outlined in CDC guidelines and the Utah Leads Together 2.0 Plan.

  • People aged 65 years and older.
  • People who live in a nursing home or long-term care facility.
  • People with chronic lung disease or moderate to severe asthma.
  • People who have serious heart conditions.
  • People who are immunocompromised including cancer treatment, smoking, bone marrow or organ transplantation, immune deficiencies, poorly controlled HIV or AIDS, and prolonged use of corticosteroids and other immune weakening medications.
  • People of any age with severe obesity (body mass index [BMI] >40) or certain underlying medical conditions, particularly if not well controlled, such as those with diabetes, renal failure, or liver disease.
  • People who are pregnant should be monitored since they are known to be at risk with severe viral illness, however, to date data on COVID-19 has not shown increased risk.
IMPORTANT: This form is only for those individual that are deemed as “high risk” or has someone in their household deemed as “high risk” by the CDC. Please contact us if you have any further questions at info@elevategymnasticsut.com.
This must match what is on file with us
This must match what is on file with us
This must match what is on file with us

Acknowledgment

I understand I am agreeing to have Elevate Gymnastics, LLC put my account and/or students listed above on pause during the time myself and/or someone in my household is considered “high risk” by the State of Utah authorities. This means no tuition will be due or processed until the “high risk” population has been deemed safe to return to our gym by either local, state, or federal authorities. Once a return date has been established and that date met, Elevate Gymnastics, LLC will unpause account and process any remaining tuition due for that month. (Ex. If Elevate Gymnastics gets green light for “high risk” members on June 13th it will automatically unpause account and charge the remaining balance for month of June). Pausing your account will save your child(s) spot in their class until the future date. If for whatever reason you decide to not have your child return once Elevate Gymnastics, LLC has been deemed safe for “high risk” families than your spot(s) in classes will automatically be withdrawn and given up.

I understand that by checking the “I understand and acknowledge” box, typing my name, inputting date, and clicking on the “SIGN ACKNOWLEDGEMENT” button below, constitutes my electronic signature, dated as when I clicked on the “SIGN ACKNOWLEDGEMENT” button and that by doing so I am authorizing Elevate Gymnastics, LLC to bill and charge my account at a date in future as stated above and as per their billing policies. I am consenting to use electronic means to sign this form and have read and understand the above disclosure.