Registration

Private gym rental annual registration fee - pay by credit card below or by Venmo @fcacheersd.com


Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
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
 
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.
 
Medical Emergencies
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I've read the above and agree.
 
COVID-19 Waiver
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments: