Registration
Thank you for registering your child for GymStars Dance Company's Summer Dance Recital for GymStars Stockton. Prices will vary and will be manually calculated with correct fees that will be posted per class. Please see corresponding email with registration + costume total cost. If you have any questions please call us at (209) 957-1919.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family and Information
First Name:* Last Name: *
Relationship to Student*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Who do we contact in case of an emergency (Name, Phone #, & relationship to student)?*
 
 
Students entered below will be added to your family's account

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Questions/Options:
Please list your child's Class, Day/Time & Instructor
What is your Credit Card Billing Address?
Would you like to use the card on file?
I agree to pick up my dancer at the required time from any rehearsal or concluded show. Failure to do so without notice may result in a late pick-up fee. (checked=yes)
 
Additional Information:
 
Release and Waiver or Liablity and Indemnity
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Emergency Medical Treatment
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Photo & Video Authorization
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Customer Responsibility
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Costume Sizing
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Payment Policy
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Authorization for Payment to register for Dance Recital
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Dance Enrollment
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Dance Recital T Shirt
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Photos/Videos During the Show
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Dancer Pick Up
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Payment Policy Cont.
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Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*