United Gymstars Online Registration

Registration

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Welcome to United Gymstars and Cheer! We are thrilled you're here. We have made enrolling your students easy and convenient!

* 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*

Home or Primary Phone*

Additional Info

Emergency Contact Info
(Not Contact #1 or #2)*

Health Insurance Carrier*

Contact #1

Contact #1 First Name*

Last Name *

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

Student #1

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

T-Shirt Size

Please click on the Search button below, then choose the class.

Enroll in Classes

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

T-Shirt Size

Please click on the Search button below, then choose the class.

Enroll in Classes

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

T-Shirt Size

Please click on the Search button below, then choose the class.

Enroll in Classes

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

T-Shirt Size

Please click on the Search button below, then choose the class.

Enroll in Classes

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

T-Shirt Size

Please click on the Search button below, then choose the class.

Enroll in Classes

Add Another Student

Required Policies and Agreements

Assumption of Risk

I fully understand and acknowledge that gymnastics and cheer activities have inherent risks, dangers, and hazards, and that my participation in such activities and /or use of such equipment may result in injury including, but not limited to bodily injury, strains, fractures, and other serious disabilities.

I've read the above and agree.

Release of Liability

I, on behalf of myself, my personal representatives, and my heirs hereby voluntarily agree to release, waive, discharge, hold harmless defend and indemnify 2A Enterprises Inc. d/b/a: United Gymstars & Cheer and its owners, agents, officers and employees from any and all claims, actions or losses for bodily injury, property damage, wrongful death or otherwise which may arise out of my use of equipment or my participation in gymnastics or cheer activities. I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have presently or in the future for the negligent acts of other conduct by the owners, agents, officers or employees of 2A Enterprises Inc. d/b/a: United Gymstars & Cheer.

I've read the above and agree.

Payment Policies

I understand that all fees are due by the 1st of each month, and will continue until I give a 30-day written notice to drop class. These fees are incurred even if I do not attend. Nonpayment could result in child being removed from class.
I understand that the enrollment fee is effective for a year as long as I am currently enrolled and active in a class.
I understand there is a late fee if my tuition payment is not received on or before the 1st of each month that it is due.

I've read the above and agree.

Medical Emergencies

I understand and acknowledge that no medical insurance benefits will be provided to me during this activity and that I will be responsible for any medical bills that may result from my participating in gymnastics and/or cheer.
I, being the parent or guardian of the student, do hereby authorize 2A Enterprises Inc. d/b/a: United Gymstars & Cheer, its coaches, trainers, and/or any member of its staff, to obtain emergency medical treatment from any physician, hospital, or other qualified medical personnel or facility as needed in the event of accident or injury. I also agree to be responsible for all the costs of said emergency treatment.

I've read the above and agree.

Photograph Agreement

I being the parent or guardian of the student, do hereby authorize my child’s photograph to be used in advertisement for 2A Enterprises Inc. d/b/a: United Gymstars and Cheer.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

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