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.

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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

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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.

I've read the above and agree.

Insurance

It is the policy of Deary's Gymnastics that all parents provide their own insurance

I've read the above and agree.

Payment Policies

Our payments policy is that tuition should be paid by the first class of each month. We do extend a one week grace period, after which a $10.00 late fee is applied. Because these fees are based on our 40 week class schedule from September to June, pro-rating payments will not be allowed. Fees are based on paying for your child's spot in class.
To cancel class, you must call prior to the month you wish to cancel.
Late fee: A $10.00 late fee will be charged for payments made after the 2nd class of the month.
Credit card will be charged after 3rd week with no payment.
Returned checks: A $20.00 late fee will be charged for all returned checks.

I've read the above and agree.

Tuition

There is a yearly non-refundable $25.00 registration fee, $5.00 for each additional child in a family. Every registration includes a Deary's tee-shirt.
All fees are based on the number of classes from September through June.
There is no pro-rate.
There is no registration fee for summer sessions. July- August
Family rate: Each additional child is 1/2 price.

I've read the above and agree.

Team

Team fees based on your child's level. No pro-rates. To stay on team, fee must be paid all year long at your level.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

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

Zip*