Registration
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Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
General Information
First Name:
*
Last Name:
*
Relationship to Child
*
Aunt
Caregiver
Father
Friend
Grandparent
Guardian
Mother
Parent
Self
Uncle
Home Phone:
*
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State/Prov:
*
Postal Code:
*
Extra Emergency Contact Number in case we cannot get in get to Contact #1 or #2
*
Students entered below will be added to your family's account
Add New Student #1:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=dd/mm/yyyy)
School:
I permit BounceGymnastics to use photos/videos of my child/ren for social media/promotional purposes:
*
Allergies we need to be aware of. (write NIL if not applicable):
*
Medications we need to know about (write NIL if not applicable):
Photo/Videos Allowed?:
*
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=dd/mm/yyyy)
School:
I permit BounceGymnastics to use photos/videos of my child/ren for social media/promotional purposes:
*
Allergies we need to be aware of. (write NIL if not applicable):
*
Medications we need to know about (write NIL if not applicable):
Photo/Videos Allowed?:
*
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=dd/mm/yyyy)
School:
I permit BounceGymnastics to use photos/videos of my child/ren for social media/promotional purposes:
*
Allergies we need to be aware of. (write NIL if not applicable):
*
Medications we need to know about (write NIL if not applicable):
Photo/Videos Allowed?:
*
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=dd/mm/yyyy)
School:
I permit BounceGymnastics to use photos/videos of my child/ren for social media/promotional purposes:
*
Allergies we need to be aware of. (write NIL if not applicable):
*
Medications we need to know about (write NIL if not applicable):
Photo/Videos Allowed?:
*
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=dd/mm/yyyy)
School:
I permit BounceGymnastics to use photos/videos of my child/ren for social media/promotional purposes:
*
Allergies we need to be aware of. (write NIL if not applicable):
*
Medications we need to know about (write NIL if not applicable):
Photo/Videos Allowed?:
*
Additional Information:
Other Questions/Comments:
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