Flex Gymnastics AZ Online Registration

Registration

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Welcome to Flex Gymnastics! Please complete this form and required waivers to register for a class! A Flex Gymnastics representative will email you as soon as possible! A credit card is required to set up your account; charges will occur after email confirmation for your new class or trial! If you will be using ESA / Class Wallet funds, please note ESA in the COMMENTS at the bottom near Payment Information. For questions, text: 520-263-8795 or email: FlexGymnasticsAZ@gmail.com.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name*

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Prior Gymnastics Experience (Where & How Long)*

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

What form of payment will you be using? If ESA / Class Wallet, note in the Comments please.*

Preferred Class Day, Time & Level or Whose Birthday are you attending?

Enroll in Classes

Select Another Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Prior Gymnastics Experience (Where & How Long)*

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

What form of payment will you be using? If ESA / Class Wallet, note in the Comments please.*

Preferred Class Day, Time & Level or Whose Birthday are you attending?

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Prior Gymnastics Experience (Where & How Long)*

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

What form of payment will you be using? If ESA / Class Wallet, note in the Comments please.*

Preferred Class Day, Time & Level or Whose Birthday are you attending?

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Prior Gymnastics Experience (Where & How Long)*

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

What form of payment will you be using? If ESA / Class Wallet, note in the Comments please.*

Preferred Class Day, Time & Level or Whose Birthday are you attending?

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Prior Gymnastics Experience (Where & How Long)*

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

What form of payment will you be using? If ESA / Class Wallet, note in the Comments please.*

Preferred Class Day, Time & Level or Whose Birthday are you attending?

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

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*

Registration

Referral Information

Family 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)