Park Elite Gymnastics Co Online Registration

Registration

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Park Elite Sports Online Registration Welcome to the Parent Portal! Tuition Payment is due at the time of enrollment and a $45 Annual Registration fee will apply. Please visit the questions and answers section of our website for answers to many enrollment questions! Your payment will process the same day you enroll.

* 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 (Not Contact #1 or #2)

Health Insurance Carrier*

BILLING CONTACT #1 DOB*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

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

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

School*

Grade Level*

Transportation -Who is the main drop off& pick up? (self,dad,mom,sister ect...)

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Immunization Notes

Make sure your child arrives no more than 5 minutes early.

Athletes will wear athletic clothes.

No jeans, zippers or buttons.

No ballet wear, tutus skirts or dresses allowed.

No jewelry for safety reasons.

All hair short or long must be pulled up and away from face and neck and shoulders.

We are excited to see you at your first class.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

School*

Grade Level*

Transportation -Who is the main drop off& pick up? (self,dad,mom,sister ect...)

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Immunization Notes

Make sure your child arrives no more than 5 minutes early.

Athletes will wear athletic clothes.

No jeans, zippers or buttons.

No ballet wear, tutus skirts or dresses allowed.

No jewelry for safety reasons.

All hair short or long must be pulled up and away from face and neck and shoulders.

We are excited to see you at your first class.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

School*

Grade Level*

Transportation -Who is the main drop off& pick up? (self,dad,mom,sister ect...)

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Immunization Notes

Make sure your child arrives no more than 5 minutes early.

Athletes will wear athletic clothes.

No jeans, zippers or buttons.

No ballet wear, tutus skirts or dresses allowed.

No jewelry for safety reasons.

All hair short or long must be pulled up and away from face and neck and shoulders.

We are excited to see you at your first class.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

School*

Grade Level*

Transportation -Who is the main drop off& pick up? (self,dad,mom,sister ect...)

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Immunization Notes

Make sure your child arrives no more than 5 minutes early.

Athletes will wear athletic clothes.

No jeans, zippers or buttons.

No ballet wear, tutus skirts or dresses allowed.

No jewelry for safety reasons.

All hair short or long must be pulled up and away from face and neck and shoulders.

We are excited to see you at your first class.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

School*

Grade Level*

Transportation -Who is the main drop off& pick up? (self,dad,mom,sister ect...)

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Immunization Notes

Make sure your child arrives no more than 5 minutes early.

Athletes will wear athletic clothes.

No jeans, zippers or buttons.

No ballet wear, tutus skirts or dresses allowed.

No jewelry for safety reasons.

All hair short or long must be pulled up and away from face and neck and shoulders.

We are excited to see you at your first class.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Please fill out ONE of the following Payment Methods

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

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

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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)

Who is your employer?

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

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)