Registration
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This fun controlled gym setting for Preschool ages 18 months-5 yrs old. Child must meet age requirements on or before September 1, 2022 Children under the age of 3 yrs MUST be accompanied by a parent while in the gym. $10 non-refundable fee due upon enrollment. Pre-registration reqired to attend. Enrollment is non-transferable.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
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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
 
Additional Information:
 
 
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:*