Registration
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Scarlet Knights Gymnastics - FALL CLINIC Saturday, November 16th, 2024 *Recommended for Levels 7-Elite*
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family/Parent Information
First Name:* Last Name: *
Relationship*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Other Emergency Contact:*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Who will be paying for the clinic? *
What grade is your child(ren) currently in?
Health Insurance Company:
Allergies or Dietary Restrictions:*
Current/Chronic Injuries or Conditions:
Club Gym/Gymnastics School:*
Child(ren)'s Current Level(s) & Competitive League (USAG, USAIGC, XCEL, JOGA, etc.):*
Permission to Leave: Please list all Adults that your child are allowed to leave with: all family members, teammate's parents, coaches, etc. A Photo ID must be provided at check out for dismissal*
T-Shirt Size CXS-AXL (Please list Name & Size for Multiple Children):*
Leotard Size:*
 
Additional Information:
 
Assumption of Risk & Consent Waiver
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Payment Agreement
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Payment & Cancellation Policies
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Consent & Release
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Rules & Policies
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Waiver for Communicable Disease
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Informed Consent & Transportation Waiver
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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:*