Registration
Evaluation Request for RETURNING Rebounders student for intermediate or advanced level classes. Girls and Boys Ages 8 to 16 years must have attended prior Rebounders intermediate or advance classes. $20.00 will be charged when the evaluation date and time is scheduled. The $20.00 will be credited to your account once enrolled in a class! We offer evaluations for students returning and would like to see if they would be appropriate for our intermediate or advanced gymnastics levels. Please only schedule an evaluation if your gymnast has attended a structured gymnastics program within the past year. Evaluations are not a guarantee of placement within any specific level of our Rebounders Recreational Program. PLEASE IGNORE THE 12/31 DATE! Once we receive your request, our Recreational Program Coordinator will get in touch with you to schedule an evaluation appointment which will take approximately 30 minutes. PLEASE CLICK ON "ALREADY A CUSTOMER" to log into you Customer Portal!
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 Perrson and Phone #
 
 
Students entered below will be added to your family's account
 
Questions/Options:
When did your child last attend Rebounders?*
What Level was your child when last attending Rebounders?*
Previous Gymnastics Experience/Skills on Floor: *
Previous Gymnastics Experience/Skills on Vault: *
Previous Gymnastics Experience/Skills on Uneven Bars (Girls) Parallel/High Bars (Boys): *
Previous Gymnastics Experience/Skills on Balance Beam: (If Boy, write N/A):*
Previous Gymnastics Experience/Skills on Pommel Horse: (If Girl, write N/A):*
Previous Gymnastics Experience/Skills on Rings: (If Girl, write N/A):*
 
Additional Information:
 
Age and Experience
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WAIVER AND RELEASE OF LIABILITY
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WAIVER/RELEASE FOR COMMUNICABLE DESEASES
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Payment Authorization
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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: