Dana Mannix Gymnastics Online Registration

Registration

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Thank you for choosing Dana Mannix Gymnastics! Please complete the web registration form to register for classes. Please note that there is an annual registration fee of $59 per family per school year. Also note that students who register during the middle of a session will have their tuition pro-rated for the classes they did not attend.

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Contact #1

Contact #1 First Name*

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Contact #2

Contact #2 First Name

Last Name

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Confirm Email

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Employer

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Student #1

Student's First Name*

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Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School

Grade Level

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Student Gender*

Birth Date*

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Student Email

T-Shirt Size

School

Grade Level

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Medications (Leave blank if NONE)

Primary Doctor

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Student #3 (Show-Hide Details)

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Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

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Medications (Leave blank if NONE)

Primary Doctor

T-Shirt Size

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Student #4 (Show-Hide Details)

Student's First Name*

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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

T-Shirt Size

Enroll in Classes

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Student #5 (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

T-Shirt Size

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Exp Year *

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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)

Who is your employer?

Contact #2

How can we contact you?

Who is your employer?

Student #1

Additional Info

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Student #3 (Show-Hide Details)

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