Registration
5 Punches for $25 for Open Gyms!! Maximum purchase is 3 Punchards per family. Following your order for the punch cards, your credit card will be charged. Physical card may be picked up at the gym and must be presented each time student is going to participate. Cards expire 4-30-25. Open gyms are on Friday evenings and Saturdays - check the website for times.
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 (Not Contact #1 or #2)
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Families may purchase up to 3 punch cards. Please tell us how many cards you would like.
 
Additional Information:
 
Assumption of Risk
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I've read the above and agree.
 
Release of Liability
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I've read the above and agree.
 
Authorization for Medical Care
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I've read the above and agree.
 
General
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I've read the above and agree.
 
Image Release
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I've read the above and agree.
 
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:*