Kelowna Gymnastix Online Registration

Registration

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Welcome to the online registration at Kelowna Gymnastix, West Kelowna Gymnastix, Fraser Valley Gymnastix and Ambition Parkour. Please ensure that ALL fields with red asterisks are completed to ensure registration is complete. If you are already a customer please use the PARENT PORTAL on the far right hand side of our website.

* 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/Prov*

Postal Code*

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

School

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Student's BC Medical Number*

Tuition fees listed are for MONTHLY AMOUNTS billed on or shortly after the 1ST of EACH MONTH. Enrollment remains active until the end of AUGUST 2022 for the 2021/2022 year. You may cancel your enrollment by giving ONE MONTH NOTICE BY EMAIL to cease ongoing monthly payments. Minimum TWO MONTHS of enrollment required. Students are required to have current Gymnastics BC membership. Annual registration fee ($15), annual Gymnastics BC membership ($47 - K/WK or $42 - FVG), and 1st month's tuition will be charged shortly after enrollment for new or recently inactive students.

Please note: Visa debit cards are not supported in our system.

Enroll in Classes

Select Another Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

School

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Student's BC Medical Number*

Please note: Visa debit cards are not supported in our 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)

Additional Info

School

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Student's BC Medical Number*

Please note: Visa debit cards are not supported in our 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)

Additional Info

School

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Student's BC Medical Number*

Please note: Visa debit cards are not supported in our 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)

Additional Info

School

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Student's BC Medical Number*

Please note: Visa debit cards are not supported in our system.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

e-Payment Schedule*

Membership Type

Please fill out ONE of the following Payment Methods

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

Country

City

State/Prov

Postal Code

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Transit # (5-digits)

Institution ID (3-digits)

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)

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

Account Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)