Registration
Looking for an entertaining evening for your kids while you shop, dine or just take some time for yourself? Bring them to AIM Gymnastics for some fun in the gym. The evening includes 1 hour gym time, pizza, and a movie.
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/Prov: * Postal Code: *
Emergency Contact Info*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Upgrade to a Platinum member? Save 25% on all movie nights for a year. Upgrade is $20, discounts are unlimited.*
One slice of pizza is included. If you would like to add more pizza at $2.50/slice, please indicate the number of EXTRA slices here. This information must be received by Friday at 6:00 p.m.*
 
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.
 
Permission to Release
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I've read the above and agree.
 
Medical Emergencies
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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:
Country: *
City: State/Prov: * Postal Code:*