Deary's Gymnastics Online 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.

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Referral Information

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Family Information

Family Last Name*

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Home Address*

City*

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Zip*

Home or Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

Type*

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Home Phone

Work #

Cell #

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Contact #2

Contact #2 First Name

Last Name

Type

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Home Phone

Work #

Cell #

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Student #1

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

T-Shirt Size

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

T-Shirt Size

Disabilities (Leave blank if NONE)

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Medications (Leave blank if NONE)

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Student #3 (Show-Hide Details)

Student's First Name*

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

Additional Info

T-Shirt Size

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Student #4 (Show-Hide Details)

Student's First Name*

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

Additional Info

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Enroll in Classes

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Student #5 (Show-Hide Details)

Student's First Name*

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

Additional Info

T-Shirt Size

Disabilities (Leave blank if NONE)

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Enroll in Classes

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Exp Month *

Exp Year *

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Address Line 1

Address Line 2

City

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Zip*

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Registration

Referral Information

Family Information

Where do you live?

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

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Student #4 (Show-Hide Details)

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