Coastal Realm Gymnastics Online Registration

Registration

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This form is used to register for classes and establish credentials to access the parent portal

* denotes required fields

Family Information

Last Name*

Primary Phone*

Contact #1

Primary Contact's First Name*

Last Name *

Relationship to Student*

How Can We Contact You?

Home Phone

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Student #1

Student's First Name*

Last Name*

Gender*

Birth Date*

Class Instructions
Please plan on arriving about 5 minutes prior to your class start time. Upon arrival, check in with the front desk so we can confirm your class details and direct you where to go from there.
We do not require any specific attire for any of our classes but we do recommend something breathable. A water bottle is also highly recommended.
If you opt to do a "Trial Class" in the field below, please let the front desk know, after your trial, if you'd like to continue with enrollment. Otherwise, the student will be dropped from the class.

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Another Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Class Instructions
Please plan on arriving about 5 minutes prior to your class start time. Upon arrival, check in with the front desk so we can confirm your class details and direct you where to go from there.
We do not require any specific attire for any of our classes but we do recommend something breathable. A water bottle is also highly recommended.
If you opt to do a "Trial Class" in the field below, please let the front desk know, after your trial, if you'd like to continue with enrollment. Otherwise, the student will be dropped from the class.

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Class Instructions
Please plan on arriving about 5 minutes prior to your class start time. Upon arrival, check in with the front desk so we can confirm your class details and direct you where to go from there.
We do not require any specific attire for any of our classes but we do recommend something breathable. A water bottle is also highly recommended.
If you opt to do a "Trial Class" in the field below, please let the front desk know, after your trial, if you'd like to continue with enrollment. Otherwise, the student will be dropped from the class.

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Class Instructions
Please plan on arriving about 5 minutes prior to your class start time. Upon arrival, check in with the front desk so we can confirm your class details and direct you where to go from there.
We do not require any specific attire for any of our classes but we do recommend something breathable. A water bottle is also highly recommended.
If you opt to do a "Trial Class" in the field below, please let the front desk know, after your trial, if you'd like to continue with enrollment. Otherwise, the student will be dropped from the class.

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Class Instructions
Please plan on arriving about 5 minutes prior to your class start time. Upon arrival, check in with the front desk so we can confirm your class details and direct you where to go from there.
We do not require any specific attire for any of our classes but we do recommend something breathable. A water bottle is also highly recommended.
If you opt to do a "Trial Class" in the field below, please let the front desk know, after your trial, if you'd like to continue with enrollment. Otherwise, the student will be dropped from the class.

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Add Another Student

Required Policies

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I Agree to All of the Above

Enter your Full Name* April 18, 2024

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*

Registration

Family Information

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Student #1

Enroll in Classes

Student #2 (Show-Hide Details)

Enroll in Classes

Student #3 (Show-Hide Details)

Enroll in Classes

Student #4 (Show-Hide Details)

Enroll in Classes

Student #5 (Show-Hide Details)

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)