The Gymnastics and Cheerleading Academy Online Registration

Registration

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We are very excited about our Fall/Winter Programs this year! The facility and programs have been designed and organized in a way to fit all the new standards and regulations. We have less students in the gym each hour to ensure proper social distancing and clean all equipment used in between each group. We're ready to learn, stay active, and have fun! ***Remember to pay the Registration Fee (Good from September 1st - August 31st)***

* 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<br/>(Not Contact #1 or #2)*

Health Insurance Carrier*

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

T-Shirt Size

School*

Grade Level Entering in the Fall*

Diseases*

Disabilities*

Special Needs*

Allergies*

Medications*

Primary Doctor*

Did you Fax, mail, or email over Immunization Records? (Campers mandatory)*

Additional Information about your child*

Have you attended camp before?

Do you have any fears?

Can you swim?

How do you feel about Camp?

Campers Nickname (if applies)

Please click on the Search button below, then choose the class. ***Returning Families please remember the Registration Fee for the upcoming year is also due with your tuition payment***

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

T-Shirt Size

School*

Grade Level Entering in the Fall*

Diseases*

Disabilities*

Special Needs*

Allergies*

Medications*

Primary Doctor*

Did you Fax, mail, or email over Immunization Records? (Campers mandatory)*

Additional Information about your child*

Have you attended camp before?

Do you have any fears?

Can you swim?

How do you feel about Camp?

Campers Nickname (if applies)

Please click on the Search button below, then choose the class. ***Returning Families please remember the Registration Fee for the upcoming year is also due with your tuition payment***

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

T-Shirt Size

School*

Grade Level Entering in the Fall*

Diseases*

Disabilities*

Special Needs*

Allergies*

Medications*

Primary Doctor*

Did you Fax, mail, or email over Immunization Records? (Campers mandatory)*

Additional Information about your child*

Have you attended camp before?

Do you have any fears?

Can you swim?

How do you feel about Camp?

Campers Nickname (if applies)

Please click on the Search button below, then choose the class. ***Returning Families please remember the Registration Fee for the upcoming year is also due with your tuition payment***

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

T-Shirt Size

School*

Grade Level Entering in the Fall*

Diseases*

Disabilities*

Special Needs*

Allergies*

Medications*

Primary Doctor*

Did you Fax, mail, or email over Immunization Records? (Campers mandatory)*

Additional Information about your child*

Have you attended camp before?

Do you have any fears?

Can you swim?

How do you feel about Camp?

Campers Nickname (if applies)

Please click on the Search button below, then choose the class. ***Returning Families please remember the Registration Fee for the upcoming year is also due with your tuition payment***

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

T-Shirt Size

School*

Grade Level Entering in the Fall*

Diseases*

Disabilities*

Special Needs*

Allergies*

Medications*

Primary Doctor*

Did you Fax, mail, or email over Immunization Records? (Campers mandatory)*

Additional Information about your child*

Have you attended camp before?

Do you have any fears?

Can you swim?

How do you feel about Camp?

Campers Nickname (if applies)

Please click on the Search button below, then choose the class. ***Returning Families please remember the Registration Fee for the upcoming year is also due with your tuition payment***

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

(Show-Hide Details)

Assumption of Risk/Release of Liability

I've read the above and agree.

Release of Liability

I've read the above and agree.

Payment/Make Up/Refund Policies

I've read the above and agree.

Medical Emergencies/Transport

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

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

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)

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 and Agreements (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies and Agreements

(Show-Hide Details)