Scarlet Knights Gymnastics Academy Online Registration

Registration

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Welcome to SKGA's Online Registration Form! Please complete if you are NEW to our program, even if you are participating in a TRIAL CLASS! Only your children can be registered under your account/form. Friends, and other children outside your immediate family MUST be registered by their legal parent/guardian! If you wish to participate in a trial class, please CONTACT US prior to completing this form, and mention in the comments section that you would like a trial class first.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family/Parent Information

Child(ren)'s Last Name: Last Name*

Where do you live?

Home Address*

City*

State*

Zip Code:*

Primary Phone*

Additional Info

Other Emergency Contact:*

Health Insurance Carrier/Company:*

Insurance Co. Phone Number

Policy/Member Number*

Group Number

Doctor Phone Number*

Doctor's Address*

Contact #1

Parent/Guardian #1 First Name*

Last Name *

Relationship*

How Can We Contact You?

Home Phone

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Parent/Guardian #2 First Name

Last Name

Relationship

How can we contact you?

Home Phone

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School

Grade Level*

Pick Up/Drop Off Notes:

Disabilities/Injuries (Leave Blank if None)

Special Needs (Leave Blank if None)

Allergies (Leave Blank if None)

Medications (Leave Blank if None)

Primary Doctor*

Skill Notes / Past Experience

Injuries (Leave Blank if none)

Illnesses (Leave Blank if none

Choose your child's class below. Please select the appropriate class for your child's age and ability. Child must be recommended by us via email to move to an INTERMEDIATE/ADVANCED Class. Please contact us if you need an evaluation.

IF YOU ARE DOING A TRIAL, PLEASE CONTACT US FIRST, and then make a note in the notes/additional comments section, so your card is not charged for tuition (until after trial class)

Only your children can be registered under your account/form. Friends, and other children outside your immediate family MUST be registered by their legal parent/guardian!

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School

Grade Level*

Pick Up/Drop Off Notes:

Disabilities/Injuries (Leave Blank if None)

Special Needs (Leave Blank if None)

Allergies (Leave Blank if None)

Medications (Leave Blank if None)

Primary Doctor*

Skill Notes / Past Experience

Injuries (Leave Blank if none)

Illnesses (Leave Blank if none

IF YOU ARE DOING A TRIAL, PLEASE CONTACT US FIRST, and then make a note in the notes/additional comments section, so your card is not charged for tuition (until after trial class)

Only your children can be registered under your account/form. Friends, and other children outside your immediate family MUST be registered by their legal parent/guardian!

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School

Grade Level*

Pick Up/Drop Off Notes:

Disabilities/Injuries (Leave Blank if None)

Special Needs (Leave Blank if None)

Allergies (Leave Blank if None)

Medications (Leave Blank if None)

Primary Doctor*

Skill Notes / Past Experience

Injuries (Leave Blank if none)

Illnesses (Leave Blank if none

IF YOU ARE DOING A TRIAL, PLEASE CONTACT US FIRST, and then make a note in the notes/additional comments section, so your card is not charged for tuition (until after trial class)

Only your children can be registered under your account/form. Friends, and other children outside your immediate family MUST be registered by their legal parent/guardian!

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School

Grade Level*

Pick Up/Drop Off Notes:

Disabilities/Injuries (Leave Blank if None)

Special Needs (Leave Blank if None)

Allergies (Leave Blank if None)

Medications (Leave Blank if None)

Primary Doctor*

Skill Notes / Past Experience

Injuries (Leave Blank if none)

Illnesses (Leave Blank if none

IF YOU ARE DOING A TRIAL, PLEASE CONTACT US FIRST, and then make a note in the notes/additional comments section, so your card is not charged for tuition (until after trial class)

Only your children can be registered under your account/form. Friends, and other children outside your immediate family MUST be registered by their legal parent/guardian!

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School

Grade Level*

Pick Up/Drop Off Notes:

Disabilities/Injuries (Leave Blank if None)

Special Needs (Leave Blank if None)

Allergies (Leave Blank if None)

Medications (Leave Blank if None)

Primary Doctor*

Skill Notes / Past Experience

Injuries (Leave Blank if none)

Illnesses (Leave Blank if none

IF YOU ARE DOING A TRIAL, PLEASE CONTACT US FIRST, and then make a note in the notes/additional comments section, so your card is not charged for tuition (until after trial class)

Only your children can be registered under your account/form. Friends, and other children outside your immediate family MUST be registered by their legal parent/guardian!

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip Code:*

Registration

Referral Information

Family/Parent Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

Required Policies

(Show-Hide Details)