Bounce Alexandria Online Registration

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Welcome to Bounce Alexandria. We are happy to have you join our gymnastics classes. You may bring your semester check payment to the first day of class or mail to: Bounce Alexandria: 7100 Marlan Dr, Alexandria VA 22307 Please do not mail to our location. We do not accept credit card payments at this time. Please let us know 30 days in advance if you wish to discontinue classes. Partial credits may be obtained.

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Referral Information

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Referral Name*

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

Contact #1

Parent First Name*

Last Name *

Type*

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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

Student #1

Student's First Name*

Last Name*

Birth Date*

Additional Info

T-Shirt Size

Allergies*

Children may wear any comfortable clothing. We will tumble in bare feet. Please bring a water bottle and tie back hair.

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

T-Shirt Size

Allergies*

Children may wear any comfortable clothing. We will tumble in bare feet. Please bring a water bottle and tie back hair.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

T-Shirt Size

Allergies*

Children may wear any comfortable clothing. We will tumble in bare feet. Please bring a water bottle and tie back hair.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

T-Shirt Size

Allergies*

Children may wear any comfortable clothing. We will tumble in bare feet. Please bring a water bottle and tie back hair.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

T-Shirt Size

Allergies*

Children may wear any comfortable clothing. We will tumble in bare feet. Please bring a water bottle and tie back hair.

Enroll in Classes

Select Class

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Comments

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)

Student #1

Additional Info

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Additional Info

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