Integrity Gymnastics Online Registration

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Sorry, but the class: "Beginner 100 Sat 10:30-11:15" is no longer available.

Welcome to Integrity Gymnastics! By completing this form, your child has been enrolled in the classes you have selected, and is ready to start this week! Gymnasts should wear a leotard or athletic apparel, with bare feet and hair pulled up. We require a 30 day written/emailed notice to end classes and avoid additional tuition fees / charges. Refunds may be issued in the form of gym credit. Gym credit may be applied towards tuition, camps & clinics.

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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)

Health Insurance Carrier

Contact #1

Contact #1 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

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Employer

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Employer Notes

Contact #2

Contact #2 First Name

Last Name

Type

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Work #

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Email (Emails are kept confidential)

Confirm Email

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Employer

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Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Classes are divided by both grade and level. If you are unsure of level, please email us at integritygymop@gmail.com to discuss and/or schedule an evaluation. Everyone is evaluated in the first couple of weeks of a new class and moved if needed! Please wear a leotard with your hair pulled up out of your face to class! See you soon!

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Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

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Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

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Student #4 (Show-Hide Details)

Student's First Name*

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Student Gender*

Birth Date*

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Student Email

T-Shirt Size

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Grade Level

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

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Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

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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)

Who is your employer?

Contact #2

How can we contact you?

Who is your employer?

Student #1

Additional Info

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