Registration
Already a customer? Click here to login.

Welcome to Truckee Gymnastics and My Playground! Please complete the following registration form. The registration process should only take a few minutes of your time. You will receive an email from us very soon! To make an online payment: you need to login to your account, enter your bank account information and then APPLY and SUBMIT the payment to your account.
How did you hear about us? *   Referral Name:         * - denotes required fields
Family Information:
Family Name:
Contact #1 First Name:* Last Name: * Type:*
Home Phone: * Cell #: Work #:
Email:* (Emails are kept confidential)
 
Contact #2 First Name: Last Name: Type:
Home Phone: Cell #: Work #:
Email: (Emails are kept confidential)
 
Home Address: *
City: * State: * Zip: *
Home Phone: *
Emergency Contact Info:*
(Not Contact #1, Contact #2)
 

Student #1 Information:
Student's First Name: * Last Name: *
Student Gender:  Birth Date: * (format=mm/dd/yy)  
Student Email:
School: Grade Level:
Disabilites:*
Special Needs:*
Allergies:*
Medications:*
Primary Doctor:*
Please click on the Search button below and choose the class which you'd like to enroll your child(ren). We accept registration mid-session, space permitting, and rates will be pro-rated. Please note that Team Levels 2+, Advanced Boys and Hot Shots classes require coaches evaluation & permission. You may add your name to the wait list for and classes that are presently full. Please contact info@truckeegymastics.com or Howard at 530-587-0227 with any questions.

Classes (max 15)
Select Class #1: * _______________   
Select Class #2: _______________   
Select Class #3: _______________   
Select Class #4: _______________   
Select Class #5: _______________   

Student #2 Information:
Show-Hide Details
Student's First Name: Last Name:
Student Gender:  Birth Date: * (format=mm/dd/yy) 
Student Email:
School: Grade Level:
Disabilites:*
Special Needs:*
Allergies:*
Medications:*
Primary Doctor:*

Classes (max 15)
Select Class #1: * _______________   
Select Class #2: _______________   
Select Class #3: _______________   
Select Class #4: _______________   
Select Class #5: _______________   

Student #3 Information:
Show/Hide Details
Student's First Name: Last Name:
Student Gender:  Birth Date: * (format=mm/dd/yy) 
Student Email:
School: Grade Level:
Disabilites:*
Special Needs:*
Allergies:*
Medications:*
Primary Doctor:*

Classes (max 15)
Select Class #1: * _______________   
Select Class #2: _______________   
Select Class #3: _______________   
Select Class #4: _______________   
Select Class #5: _______________   

Student #4 Information:
Show/Hide Details
Student's First Name: Last Name:
Student Gender:  Birth Date: * (format=mm/dd/yy) 
Student Email:
School: Grade Level:
Disabilites:*
Special Needs:*
Allergies:*
Medications:*
Primary Doctor:*

Classes (max 15)
Select Class #1: * _______________   
Select Class #2: _______________   
Select Class #3: _______________   
Select Class #4: _______________   
Select Class #5: _______________   

Student #5 Information:
Show/Hide Details
Student's First Name: Last Name:
Student Gender:  Birth Date: * (format=mm/dd/yy) 
Student Email:
School: Grade Level:
Disabilites:*
Special Needs:*
Allergies:*
Medications:*
Primary Doctor:*

Classes (max 15)
Select Class #1: * _______________   
Select Class #2: _______________   
Select Class #3: _______________   
Select Class #4: _______________   
Select Class #5: _______________   
 
Enter your Full Name: *   
 
 
Comments:  

Please fill out ONE of the following Payment Methods:
 
Credit Card Verification:
   
Name as it appears on card:  
Card Type:   Card Number:  
Card Expiration Month:   Exp Year:  
 
eCheck/Bank Draft:
Bank Name:
Bank Routing Number: (9-digit number)
Your Account Name: (Your name on your bank statement)  
Your Account Type:   Account Number:  
 
Note: For your protection, remember to check that you have a secure connection.