Registration
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For kids ages 4 and up. Let our team keep your kids active and entertained with games, crafts, supervised free-time in the gym and a dance party in the dance studio. Pack a snack and water bottle or snacks available for purchase via our vending machine. Call 406.991.1005 for same day availability. $5 convenience fee per child for same day enrollments. 10% sibling discount available upon request. Please note: our system will not automate discounts for this event so please email HL@HybridMotionMT.com with your children's names and the date you wish to enroll so we can apply the discount for you. We are not able to offer refunds after an online enrollment has been processed.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
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- denotes required fields
Family Information
First Name:
*
Last Name:
*
Type
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Father
Guardian/Caregiver
Mother
Self
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
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City:
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State:
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Zip:
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Emergency Contact Info (Not Contact #1 or #2)
Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Questions/Options:
What is your primary contact phone number and 1 Emergency Contact and phone number
*
Please list any medical conditions or allergies we need to be aware of.
Additional Information:
Cancellation
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Any cancellations withing 24 hours of the reservation will receive a credit back to your Hybrid Motion Account. No shows or less than 24 hour notice might not receive a credit or refund as staff has already been scheduled to work.
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
Credit Card Verification:
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eCheck/Bank Draft:
Bank Name:
Bank Routing Number:
(9-digit number)
Your Account Name:
(Your name on your bank statement)
Your Account Type:
Checking
Savings
Account Number:
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