London Gymnastics Academy Online Registration

Registration

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Welcome to London Gymnastics Academy's online registration! If you have any difficulties or questions, please email us at info@londongymnasticsacademy.com. In order to complete your registration, please fill in all of the information below and then press "Submit." Once we have reviewed your registration, your fees will be processed. IF YOU HAVE BEEN WITH US BEFORE AND HAVE A CUSTOMER PORTAL, PLEASE DO NOT COMPLETE THIS FORM BUT REGISTER THROUGH YOUR CUSTOMER PORTAL INSTEAD.

* 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/Prov*

Postal Code*

Primary Phone*

Additional Info

Emergency Contact Info

Health Card Number

Contact #1

Parent #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

Parent #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

Special Needs/Disabilities*

Allergies/Medications/Other*

Vaccination Status

Party Disc-info from invite

All classes will be reviewed to confirm prerequisite badges for advanced classes.

Enroll in Classes

Select Another Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Special Needs/Disabilities*

Allergies/Medications/Other*

Vaccination Status

Party Disc-info from invite

All classes will be reviewed to confirm prerequisite badges for advanced classes.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Special Needs/Disabilities*

Allergies/Medications/Other*

Vaccination Status

Party Disc-info from invite

All classes will be reviewed to confirm prerequisite badges for advanced classes.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Special Needs/Disabilities*

Allergies/Medications/Other*

Vaccination Status

Party Disc-info from invite

All classes will be reviewed to confirm prerequisite badges for advanced classes.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Special Needs/Disabilities*

Allergies/Medications/Other*

Vaccination Status

Party Disc-info from invite

All classes will be reviewed to confirm prerequisite badges for advanced classes.

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

Country *

City

State/Prov*

Postal Code*

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)