Kentucky Gymnastics Academy Online Registration

Registration

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Registrations are accepted on a continuous basis. Please let us know when you want to start. We can only HOLD your spot for 2 weeks without payment.

* 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*

Primary Phone*

Additional Info

Emergency Contact Info*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Work # *

Cell # *

Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Kentucky Gymnastics Academy. 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

Contact #2

Contact #2 First Name*

Last Name*

Type*

How can we contact you?

Work #

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

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Tuition is billed on a MONTHLY basis and charged to your account on file on the 24th of each month. Fees posted will automatically reflect any eligible discounts.

Your Lifetime Membership Fee of $75.00 will be billed upon initial class registration with KGA.

*Membership is required for class registration ONLY--it does not apply for our Open Gyms or Camp KGA.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Tuition is billed on a MONTHLY basis and charged to your account on file on the 24th of each month. Fees posted will automatically reflect any eligible discounts.

Your Lifetime Membership Fee of $75.00 will be billed upon initial class registration with KGA.

*Membership is required for class registration ONLY--it does not apply for our Open Gyms or Camp KGA.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Tuition is billed on a MONTHLY basis and charged to your account on file on the 24th of each month. Fees posted will automatically reflect any eligible discounts.

Your Lifetime Membership Fee of $75.00 will be billed upon initial class registration with KGA.

*Membership is required for class registration ONLY--it does not apply for our Open Gyms or Camp KGA.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Tuition is billed on a MONTHLY basis and charged to your account on file on the 24th of each month. Fees posted will automatically reflect any eligible discounts.

Your Lifetime Membership Fee of $75.00 will be billed upon initial class registration with KGA.

*Membership is required for class registration ONLY--it does not apply for our Open Gyms or Camp KGA.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Tuition is billed on a MONTHLY basis and charged to your account on file on the 24th of each month. Fees posted will automatically reflect any eligible discounts.

Your Lifetime Membership Fee of $75.00 will be billed upon initial class registration with KGA.

*Membership is required for class registration ONLY--it does not apply for our Open Gyms or Camp KGA.

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Account Information

Membership Type*

Please fill out CREDIT CARD Payment Method

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

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I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Required Policies

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