Registration
Extended Fun Friday Open Gym 6:30 pm - 11:30 pm $40 per child (non-refundable) For boys & girls ages 5-11. No jewelry. Must wear athletic/flexible clothing. Includes pizza & Juice. Children may buy extra snacks and drinks in the Coca-Cola room. Gymnastics Fun, Group Games, Costume Contest, Prizes, Food & Drink!
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
Type*
Home Phone:* Click to Enter an International Number Cell #: Click to Enter an International Number Work #: Click to Enter an International Number
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:
What kind of dinner would your child(ren) like? Options are Pepperoni, Cheese or Hot Dogs*
 
Additional Information:
 
Disclaimer/Waiver
I, parent or guardian am authorized to sign in the following children . I understand that any activity involving motion or height creates the possibility of serious injury, including permanent paralysis and even death from landing or falling on the head or neck. I hold Powerhouse TNT Gymnastics Inc. Brambila Management LLC and its coaches, staff, employees and owners harmless for any and all injuries arising out of participation in any and all classes and all activities in the gym and away from or at the gym. I understand that Powerhouse TNT Gymnastics Inc. is not a child care facility. I understand that the times for this event are from 6:30-11:30pm, unless otherwise published, and that there is a late fee of $10.00 for every 5 minutes that I am late in picking up my children.
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:*