Registration

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:
Does your child have prior gymnastics experience? If so, please provide details.
What is your preferred form of contact (phone, e-mail, etc.)?
 
Additional Information:
 
EGA Liability Release and Indemnification
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments: