Registration

Already a customer? Click here to login.

Open Gym is a time for being with friends in a relaxed non-structured environment where you can spend extra time on skills you particularly like. There is no direct instruction. Staff is on hand in a supervisory capacity only. Kids under 7 must be accompanied by a parent. All Non-member participants must have a signed waiver form. Please be sure to pay the $12 fee when you register. Any fees that are not paid by the day of Open Gym will be changed to $17.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info

Students entered below will be added to your family's account

Add New Student #1:

(Show-Hide Details)

	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	School:	Grade Level:
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Primary Doctor:

Additional Information:

Assumption of Risk and Liability Release

(Show-Hide Details)

I've read the above and agree.

Enter your Full Name: