Deary's Gymnastics Online Registration

Registration

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It is the belief of Deary's Gymnastics that every child is unique and it is our honor for us that you trust us with your children. We at Deary's will strive to enhance every child by teaching them gymnastics in a safe and fun environment.

* denotes required fields

Referral Information

How did you hear about us?

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

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

Disabilites

Allergies

Medications

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

Disabilites

Allergies

Medications

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

Disabilites

Allergies

Medications

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

Disabilites

Allergies

Medications

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

Disabilites

Allergies

Medications

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Release of Liabilty/ Assumption of Risk

Because of the extreme cost, cost that would have to be passed on to our clientele in the form of higher tuition for all, you accept the responsibility of providing coverage for the individual that you register at Deary's Gymnastics. You enroll your child in the Deary's Gymnastics program with the understand that physical activity entails a certain amount of risk towards bodily injury. You hereby release Deary's and it's employees of liability and suits of law in equity for injury resulting from the activities, this includes your heirs.