All-Star Gymnastics Center, Inc. Online Registration

Registration

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Welcome to All-Star Gymnastics. After you submit the registration, you will receive a confirmation email from us within 2 business days. An annual family membership fee of $45 is assessed once each year for September to August . Discounts are applied in our office and reflected in your confirmation email - 10% sibling discounts on ALL but largest tuition; 10% on multiple classes for one child; and promotional discount codes typed into the comment box at the bottom of this registration form.

* 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 #

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

T-Shirt Size

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Click on the SEARCH button below to choose your child's class. We do open classes based on demand - if your desired class if full, please place your child on the wait list for priority placement and/or call the office at 978-256-7766 to check availability. If you are unsure of which class program is right for your child, we would be pleased to speak with you concerning your child's placement. Please call the office at 978-256-7766.

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

T-Shirt Size

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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

T-Shirt Size

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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

T-Shirt Size

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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

T-Shirt Size

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

ASSUMPTION OF RISK

As legal guardian or parent of the child/children being registered, I hereby consent to him/her/them participating in All-Star Gymnastics Center Inc.'s programs. I recognize that potentially severe injuries, including permanent paralysis or death can occur in sports or activities involving height or motion, those activities including but not limited to gymnastics, tumbling and trampoline. I hereby give my consent for my child/children to participate in any and all All-Star Gymnastics Center, Inc.'s programs and activities and I ACCEPT ALL RISKS associated with this participation.

I've read the above and agree.

RELEASE OF LIABILITY

In consideration for my or my child/children's participation, I hereby, for myself and my child/children and all our respective heirs and successors, PROMISE NOT TO SUE and FOREVER RELEASE All-Star Gymnastics Center, Inc., its officers, directors, shareholders, employees, contractors and volunteers from all liability resulting in damages or injuries incurred as a result of participation including those resulting from acts of negligence.

I've read the above and agree.

PHOTO RELEASE

I am aware that individual and group photos and videos are taken from time to time and in consideration for my or my child/children's participation I hereby grant my permission for my child/children's likeness to be used in All-Star Gymnastics Center, Inc.'s publicity or advertising.

I've read the above and agree.

MEDICAL EMERGENCIES

In the event of an accident or emergency I hereby authorize my child/children to be transported to a hospital for medical treatment and I hold All-Star Gymnastics Center, Inc., and its representatives harmless in the execution of such. Additionally, I hereby agree to individually provide for all medical expenses which may be incurred by myself or my child/children as a result of any injury sustained while participating at or for All-Star Gymnastics Center, Inc.

I've read the above and agree.

AGREEMENT

I have read and understand this ASSUMPTION OF RISK and WAIVER OF LIABILITY and PHOTO RELEASE and MEDICAL AUTHORIZATION, and I VOLUNTARILY affix my signature in agreement.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

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