Registration

If you do not attend Aerials Gymnastics, Once you fill out the form online, go to www.aerialsgymnastics.net and click parent portal. You will then enter your email and click forgot password. Once you are logged in you can then pay the required $100.00 Deposit or your full amount of $499.00. If you are an Aerials family, click "already a customer" at the top of the page. The deadline for application is May 5th. The Camp cost is $499. The minimum age is 8 yrs old by May 28. A $100 non-refundable deposit is required with each application. The balance must be paid in full by Monday, May 19th. All fees are non-refundable after May 19th. FORMS Upon registration you will be emailed a confirmation packet that will include detailed information as well as necessary forms concerning camp. PAYMENT Please make all payments online with a credit/debit or bank check.
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
 
Questions/Options:
Medical Information and Allergies Please list any known allergies, medical conditions, or other pertinent health information. Include any prescription medications that need to be kept and administere*
Primary Medical Insurance Company and Phone #*
Primary Care Physician Name and Phone Number*
T Shirt Size*
 
Additional Information:
 
Camp Release
  (Show-Hide Details)
I've read the above and agree.
 
Aerials Release
  (Show-Hide Details)
I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Please fill out ONE of the following Payment Methods.
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:
 
 
eCheck/Bank Draft:
Bank Name:
Bank Routing Number: (9-digit number)
Your Account Name: (Your name on your bank statement)
Your Account Type:   Account Number: