Altadore Gymnastic Club Online Registration

Registration

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Welcome to AGC! If you've taken classes with us before, please log in to the portal.
-Registration is immediate for current classes.
-Fees will be processed charged within 48hrs of registering for current classes, or on July 16 for September classes.
-The insurance fee is valid from July 1 to June 30. It will be added before payment, even if not shown during registration.
-Everyone going on the gym floor needs a waiver. www.altadoregym.com/waivers.

* 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*

Province*

Postal Code*

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*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE). If your child brings an Aide, please let the office know.

Allergies (Leave blank if NONE)

Agree to Photo Release?*

Please select the classes in which you would like to enroll.

Please note that tuition will be charged to your card on file within 48hrs of enrollment.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE). If your child brings an Aide, please let the office know.

Allergies (Leave blank if NONE)

Agree to Photo Release?*

Please select the classes in which you would like to enroll.

Please note that tuition will be charged to your card on file within 48hrs of enrollment.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE). If your child brings an Aide, please let the office know.

Allergies (Leave blank if NONE)

Agree to Photo Release?*

Please select the classes in which you would like to enroll.

Please note that tuition will be charged to your card on file within 48hrs of enrollment.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE). If your child brings an Aide, please let the office know.

Allergies (Leave blank if NONE)

Agree to Photo Release?*

Please select the classes in which you would like to enroll.

Please note that tuition will be charged to your card on file within 48hrs of enrollment.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE). If your child brings an Aide, please let the office know.

Allergies (Leave blank if NONE)

Agree to Photo Release?*

Please select the classes in which you would like to enroll.

Please note that tuition will be charged to your card on file within 48hrs of enrollment.

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

Country *

City

Province*

Postal Code*

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)

Contact #2

How can we contact you?

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

Required Policies

(Show-Hide Details)