Metro Stars Gymnastics Online Registration

Registration

Already a customer? Click here to login.

- Our classes are ongoing and your student will start the very next time the class meets!

* 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*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # Receive Text Message Notifications

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

Relationship to Participant(s)

How can we contact you?

Home Phone

Work #

Cell # Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

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

- Full classes will not be visible through our enrollment system.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

- Full classes will not be visible through our enrollment system.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

- Full classes will not be visible through our enrollment system.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

- Full classes will not be visible through our enrollment system.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

- Full classes will not be visible through our enrollment system.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Release of Liability

In consideration of allowing the previously-declared participant(s) to begin participation in activities with Metro Stars Gymnastics while on the premises and property of said Center, the undersigned, for themselves, and/or being the legal and acting guardian of participant, acting for themselves and on behalf of the participant, release and hold harmless Lilla Enterprises, Inc. a Nebraska corporation, its owners, officers, employees, and agents of and 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 upon which Metro Stars Gymnastics is conducted, or any premises under the control and supervision of Lilla Enterprises, Inc., its owners, officers, employees, or agents or in route to or from any of said premises, or while at any premises or place when activities sponsored by or participated in by Lilla Enterprises, Inc., its owners, officers, agents, or employees.

I've read the above and agree.

Assumption of Risk

Participation in physical activities can involve motion, rotation, and height in a unique environment and as such carries with it a certain assumption of risk. The undersigned and the participant(s) choose to voluntarily enter upon said premises under the control of said corporation, knowing their present condition and knowing that said condition may become more hazardous and dangerous during the time the participant or the undersigned is upon said premises. The undersigned and the participant(s) voluntarily assume any and all risks of loss, damage, or injury that may be sustained by the participant(s) and/or the undersigned or any property owner by them while on or upon said premises described above. The corporation may but shall not be obliged to carry insurance on the participant(s), and the existence of insurance shall not change, alter, or increase the liability of the corporation to the participant and the undersigned or affect the terms of this Release. In signing this Release, the undersigned acknowledges: a) That he/she has read thoroughly and understands completely, the terms of Registration and Release and signs it voluntarily. b) That the undersigned signing either for themselves, or as Legal Guardian is, in fact, the true and legal guardian and has the consent of the participant.

I've read the above and agree.

Payment Information

The membership fee is collected upon your initial enrollment and renewed annually on a per child basis. At the time you enroll, you pay the membership fee and the tuition for the classes remaining in the start month. Thereafter, tuition is debited from the submitted account on the 1st business day of the month. The monthly tuition is based on a 4 week month, but will be adjusted to reflect months with more or less days (holidays, 5 week months, etc.). To opt out of the first of month automatic debit, a written request must be submitted through a form available at the front desk. Once a student is enrolled in a program at Metro Stars Gymnastics, he or she will be automatically enrolled in the following month unless Metro Stars Gymnastics is notified in writing by the 20th of the current month.

I've read the above and agree.

Marketing Release

I understand that my child's likeness may be used in Metro Stars Gymnastics ads, promotional videos, website material, or various other marketing. These images will be used for Metro Stars Gymnastics' purposes only, and will not be given or sold to outside companies or individuals.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

Account Information

Start Week*

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*