Registration

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We are currently on a waiting list for classes, You are welcome to register so you are in the system. Please contact the office to get placed on a list for when a spot opens up for your child. Welcome to Umpqua Valley Gymnastics! Please complete the following registration form.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Who is your employer?
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
(format=mm/dd/yyyy)
Additional Info
Required Policies
 (Show-Hide Details)
Questions or Concerns
Payment Information
Please fill out ONE of the following Payment Methods
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)
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