The Peach Pit Prado Online Registration

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Welcome to The Peach Pit, a boutique gymnastics and cheerleading studio in Atlanta. We provide world class training for children and an escape for parents. Online registration can be overwhelming so please do not hesitate to contact us (404) 242-6211 if we can assist in any way. You are registering for our Prado Studio! Meet YOU @ The Pit!

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Referral Information

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Family Profile

Family Name or Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

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

Health Insurance Carrier, Group # & Member ID*

Promo Code

Contact #1

Parent 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

Who is your employer?

Employer

Employer Phone

Employer Notes

Contact #2

Parent #2 or Additional Contact First Name*

Last Name*

Type*

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

Previous Injuries or Special Needs*

Allergies*

Medications*

Pediatrician or Primary Physician

Please select the best class, day and time that fits your child and family schedule. Pay close attention to location, class prerequisites and descriptions. Tuition fees are monthly and are due promptly on the 1st of the month. We require written notice to drop by the 15th. No exceptions! Please read our policies thoroughly prior to registering. Thank you for choosing The Pit! If you have any questions regarding registration, please call (404) 242-6211 or email theprado@peachpitgym.com.

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Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

Previous Injuries or Special Needs*

Allergies*

Medications*

Pediatrician or Primary Physician

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Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

Previous Injuries or Special Needs*

Allergies*

Medications*

Pediatrician or Primary Physician

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Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

Previous Injuries or Special Needs*

Allergies*

Medications*

Pediatrician or Primary Physician

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Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

Previous Injuries or Special Needs*

Allergies*

Medications*

Pediatrician or Primary Physician

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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*

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Registration

Referral Information

Family Profile

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

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Who is your employer?

Contact #2

How can we contact you?

Who is your employer?

Student #1

Additional Info

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