Gymfinity Gymnastics Online Registration

Registration

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WELCOME TO GYMFINITY!! We are excited that you are registering for classes and can't wait to meet you. PLEASE NOTE, that we will NOT charge your credit card for any tuition or the Member Fee until you are enrolled in a class. You do not have to pay anything to be on a wait list.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Additional Info

Emergency Contact Info*

WHEN WOULD YOU LIKE TO START?*

ADDITIONAL COMMENTS

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone *

Work #

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

School*

Grade Level*

Does this child have any special needs/considerations? (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Preferred Hospital*

What are your child's goals?*

T-shirt Size*

A "Gymfinity Pause Form" (obtained from the Gymfinity office) is due by the 20th of the current month to stop billing for the next month. Families that fail to complete the "Gymfinity Pause Form" by the 20th of the month will incur a $25 late withdrawal fee and be liable for tuition for the following month.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

School*

Grade Level*

Does this child have any special needs/considerations? (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Preferred Hospital*

What are your child's goals?*

T-shirt Size*

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

School*

Grade Level*

Does this child have any special needs/considerations? (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Preferred Hospital*

What are your child's goals?*

T-shirt Size*

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

School*

Grade Level*

Does this child have any special needs/considerations? (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Preferred Hospital*

What are your child's goals?*

T-shirt Size*

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

School*

Grade Level*

Does this child have any special needs/considerations? (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Preferred Hospital*

What are your child's goals?*

T-shirt Size*

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

Required Policies

(Show-Hide Details)