Maroochy Beach Gymnastics Association Inc Online Registration

Registration

Already a customer? Click here to login.

Welcome to Maroochy Beach Gymnastics Online Registration Portal. Please complete all fields marked with an asterisk * and click Submit when complete. PLEASE NOTE: Credit cards and/or bank accounts are optional & NOT charged at this time. NOTE: the Term tuition fee is ex-GST and does not include respective term levies or annual registration. The full fee schedule may be downloaded from the "PARENT INFORMATION TAB" of our Club website: http://www.maroochybeachgymnastics.com.au/parent-information.

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Surname

Family Last Name*

Where do you live?

Home Address*

City*

State/Prov*

Postal Code*

Primary Phone*

Additional Info

Gymnasts Emergency Contact Info*

Parent 1 Occupation

Parent 2 Occupation

Contact #1

Gymnasts Primary contact (Parent #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

Who is your employer?

Employer

Employer Phone

Employer Notes

Contact #2

Gymnasts other contact (Parent #2) First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Gymnast Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Permission to photograph child*

Permission to publish images*

Class information can be found here. Please search a class and enrol your child, we will review your request and contact you to confirm your allocation.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Gymnast Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Permission to photograph child*

Permission to publish images*

Class information can be found here. Please search a class and enrol your child, we will review your request and contact you to confirm your allocation.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Gymnast Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Permission to photograph child*

Permission to publish images*

Class information can be found here. Please search a class and enrol your child, we will review your request and contact you to confirm your allocation.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Gymnast Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Permission to photograph child*

Permission to publish images*

Class information can be found here. Please search a class and enrol your child, we will review your request and contact you to confirm your allocation.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Gymnast Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Permission to photograph child*

Permission to publish images*

Class information can be found here. Please search a class and enrol your child, we will review your request and contact you to confirm your allocation.

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/Prov

Postal Code

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank State Branch (BSB) Number (6-digit number)

Account Number

Registration

Referral Information

Surname

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)