Salem Gymnastics Sports Center Online Registration

Registration

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Welcome to Salem Gymnastics & Swim!

Class starts immediately after enrollment!

Only legal guardians can sign up a child.
To register, select a class under the student’s information.

Questions? Email info@salemgym.com.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info*

Health Insurance Carrier

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # *

Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Salem Gymnastics Sports Center. Standard message and data rates apply. Reply STOP to opt out

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

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Salem Gymnastics Sports Center. Standard message and data rates apply. Reply STOP to opt out

Email (Emails are kept confidential)

Confirm Email

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

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

T-Shirt Size*

Green, Black, Red, or Pink*

How to Register:

Click the search button below and choose a class from the list.
If your desired class is full, join the waitlist—we’ll contact you when a spot opens!
Enter your child’s shirt size and favorite color (pink, red, black, or green) above or in the comments section at the bottom for a special surprise on their first day! *Shirts are not provided for special events, trials, or camps*

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

T-Shirt Size*

Green, Black, Red, or Pink*

How to Register:

Click the search button below and choose a class from the list.
If your desired class is full, join the waitlist—we’ll contact you when a spot opens!
Enter your child’s shirt size and favorite color (pink, red, black, or green) above or in the comments section at the bottom for a special surprise on their first day! *Shirts are not provided for special events, trials, or camps*

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

T-Shirt Size*

Green, Black, Red, or Pink*

How to Register:

Click the search button below and choose a class from the list.
If your desired class is full, join the waitlist—we’ll contact you when a spot opens!
Enter your child’s shirt size and favorite color (pink, red, black, or green) above or in the comments section at the bottom for a special surprise on their first day! *Shirts are not provided for special events, trials, or camps*

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

T-Shirt Size*

Green, Black, Red, or Pink*

How to Register:

Click the search button below and choose a class from the list.
If your desired class is full, join the waitlist—we’ll contact you when a spot opens!
Enter your child’s shirt size and favorite color (pink, red, black, or green) above or in the comments section at the bottom for a special surprise on their first day! *Shirts are not provided for special events, trials, or camps*

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

T-Shirt Size*

Green, Black, Red, or Pink*

How to Register:

Click the search button below and choose a class from the list.
If your desired class is full, join the waitlist—we’ll contact you when a spot opens!
Enter your child’s shirt size and favorite color (pink, red, black, or green) above or in the comments section at the bottom for a special surprise on their first day! *Shirts are not provided for special events, trials, or camps*

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

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

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)

Who is your employer?

Contact #2

How can we contact you?

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

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)