Aerials Fit and Fun Gymnastics Online Registration

Registration

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Please note, WE WILL NOT CHARGE YOUR CREDIT CARD UNTIL we verify that the correct tuition was chosen and the class choice still has space or is running. We will also apply the appropriate class, registration fee and sibling discounts as required, the program does not perform this function. If there are any problems with your registration we will contact you, if not you can expect to see your tuition charged, 2 MONTH MINIMUM PAYMENT TO START EACH YEAR, within 1-3 business days

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Referral Information

How did you hear about us?*

Referral Name*

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

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

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Medications (Leave blank if NONE)

Primary Doctor

USAG Member #

If you do not see the class you want you can call or email use and we will help you right away. REMINDER, there is a 2 month minimum payment due at sign up.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Medications (Leave blank if NONE)

Primary Doctor

USAG Member #

If you do not see the class you want you can call or email use and we will help you right away. REMINDER, there is a 2 month minimum payment due at sign up.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Medications (Leave blank if NONE)

Primary Doctor

USAG Member #

If you do not see the class you want you can call or email use and we will help you right away. REMINDER, there is a 2 month minimum payment due at sign up.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Medications (Leave blank if NONE)

Primary Doctor

USAG Member #

If you do not see the class you want you can call or email use and we will help you right away. REMINDER, there is a 2 month minimum payment due at sign up.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Medications (Leave blank if NONE)

Primary Doctor

USAG Member #

If you do not see the class you want you can call or email use and we will help you right away. REMINDER, there is a 2 month minimum payment due at sign up.

Enroll in Classes

Select Class *

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Account Information

Membership Type*

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?

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Who is your employer?

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

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Questions or Concerns

Payment Information

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Credit Card

Required Policies

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