Registration
Virtual Classes Purple Package - Special package for Intermediate, Advanced, and Team Rhythmic Gymnastics students for the month of June
Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Parent's Information
First Name:* Last Name: *
Parent/Self if over 18*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
 
 
 
Additional Information:
 
Assumption of Risk/Release of Liability
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I've read the above and agree.
 
Use Them or Lose Them
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I've read the above and agree.
 
Virtual Class Link for Household only
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Video and Photo Release
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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:*