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Serving the community over 30 years!

2020 Class Registration (all fields must be filled out)

Parent or Guardian Name:*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Second Contact Information (as needed)
Select Classes - Families with more than one gymnast may register multiple children for separate classes on one form.*
- Gym Tots
- Gym Bees
- Bumble Bees
- Super Bees
- Gym Midjies 1
- Gym Midjies 2
- Recreational Xcel
- Ninja Challenge Class
Gym Tots Gymnast Name*
First Last
Gym Tots Gymnast Birthdate*
Month
Day
Year
Gym Bees Gymnast Name*
First Last
Gym Bees Gymnast Birthdate*
Month
Day
Year
Bumble Bees Gymnast Name*
First Last
Bumble Bees Gymnast Birthdate*
Month
Day
Year
Super Bees Gymnast Name*
First Last
Super Bees Gymnast Birthdate*
Month
Day
Year
Gym Midjies 1 Gymnast Name*
First Last
Gym Midjies 1 Gymnast Birthdate*
Month
Day
Year
Gym Midjies 2 Gymnast Name*
First Last
Gym Midjies 2 Gymnast Birthdate*
Month
Day
Year
Recreational Xcel Gymnast Name*
First Last
Recreational Xcel Gymnast Birthdate*
Month
Day
Year
Ninja Challenge Class Participant Name*
First Last
Ninja Challenge Class Participant Birthdate*
Month
Day
Year
Select number of Gym Tots classes per week*
Select number of Gym Bees lessons per week*
Select number of Bumble Bees lessons per week*
Select number of Super Bees lessons per week*
Select number of Gym Midjies 1 lessons per week*
Select number of Gym Midjies 2 lessons per week*
Select number of Recreational Xcel lessons per week*
Select which Ninja Challenge Class enrolling in*
Select Gym Tots Class Enrolling in*
Select Gym Bees class enrolling in - Day #1*
Select Gym Bees class enrolling in - Day #2*
Select Bumble Bees class enrolling in - Day #1*
Select Bumble Bees class enrolling in - Day #2*
Select Super Bees class enrolling in - Day #1*
Select Super Bees class enrolling in - Day #2*
Select Gym Midjies 1 class enrolling in - Day #1*
Select Gym Midjies 1 class enrolling in - Day #2*
Select Gym Midjies 2 class enrolling in - Day #1*
Select Gym Midjies 2 class enrolling in - Day #2*
Select Recreational Xcel class enrolling in - Day #1*
May we have permission to use your child(rens)’s image in publicity online (social media and website) and in print?*
- Yes
- No
Please read and accept the Assumption of Risk form.
I have read and accept the Assumption of Risk*
- Accept
Is there anything we need to know about your child(ren)?*
Other comments:*