Registration
1 openings left in this event!
Join us for a very special monthly family open gym event! After a half-hour of "Feelings Rock" with Ms. Taylor, you can enjoy an hour of open gym! The price is $20 per family with one child, and $5 per additional child. Space is limited! Please let us know how many kids you expect to bring, so that we can estimate attendance in advance. Payment (cash , or we can charge the credit card associated with your account) will be due the day of the event, in advance of participating.
Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
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First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
 
 
 
Questions/Options:
How many children will you be bringing under age 5?
How many children will you be bringing age 5 and up?
 
Additional Information:
 
Assumption of Risk
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I've read the above and agree.
 
Release from Liability
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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:*