Registration

Already a customer? Click here to login.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Who is your employer?
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
(format=mm/dd/yyyy)
Additional Info
Enroll in Classes
Select Class
Required Policies and Agreements
As the legal parent or guardian, I release and hold harmless River City Gymnastics, Inc., its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of River City Gymnastics, Inc., its owners and operators or in route to or from any of said premises.

The undersigned gives permission to River City Gymnastics, Inc., its owners and operators to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I hereby declare any physical/mental problems, restrictions, or condition and/or declare the participant to be in good physical and mental health. I request that our doctor/physician ________________ be called and that my child be transported to ______________________ hospital. Please include physicians' phone number _______________.

Tuition is due by the first of each month. If accounts are paid after the tenth of the month, there will be a $25.00 late fee applied to the account balance. There is a $20.00 returned check charge for any checks returned by the bank. River City Gymnastics, Inc. reserves the right to debit your card/ account monies owed if payment is not received for services rendered by the 20th of the month.

I authorize River City Gymnastics, Inc. to initiate debit entries to my checking or credit card account I provided and to debit the same account monthly and to credit it in the event of error. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. This authorization is to remain in full force and effect until River City has received 30 days written notice of its termination in such time and in such manner as to afford River City and the bank/credit institution a reasonable time to act on it.

I Agree to All of the Above
Questions or Concerns
Payment Information
Account Information
Please fill out CREDIT CARD Payment Method
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)