Champaign Gymnastics Academy Online Registration

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Welcome to the Champaign Gymnastics Academy! Enrollment is effective upon registration. Classes begin January 12, 2026.

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Referral Information

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Family Information

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Home Address*

City*

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Zip*

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Additional Info

Emergency Contact Info*

Contact #1

Contact #1 First Name*

Last Name *

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Cell # *

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Confirm Email*

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Contact #2

Contact #2 First Name

Last Name

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Work #

Cell #

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Student #1

Student's First Name*

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Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

CGA requires a membership to participate in classes. The membership fee ($35 per student per year) will be added to the account following registration.

Tuition is due at time of registration. If you are registering mid-month, tuition will be prorated to reflect the number of classes remaining in the month once registration is complete.

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Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Enroll in Classes

Select Class *

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Student Gender*

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Additional Info

Student Email

Disabilities (Leave blank if NONE)

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Enroll in Classes

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Student's First Name*

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Student Gender*

Birth Date*

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Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

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Enroll in Classes

Select Class *

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Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

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Select Class *

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Exp Year *

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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

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Additional Info

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Student #3 (Show-Hide Details)

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