Infinity Gymnastics Online Registration

Registration

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Welcome to Infinity Gymnastics of NY, LLC! Please complete the following registration form. By completing this registration form you are also creating a parent portal! We use this portal for everything, please become familiar. Just the registration fee is due at this time. Tuition will be posted after your account has been reviewed.

* 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

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Cell # *

Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Infinity Gymnastics. Standard message and data rates apply. Reply STOP to opt out

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*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

REGISTRATION FEES are due when you register your child. YOU must log into your PARENT PORTAL to make your PAYMENT, AFTER YOU REGISTER. You need to go into portal and click on PAY NOW, then select the fee and Submit/Pay Now.

Please make sure with our academic sessions you are choosing a payment schedule! Once this payment schedule is chosen, it cannot be changed throughout the season.

Tuition fees will be posted after your account has been reviewed.

When filling in Health Insurance information please put N/A IF you DO NOT have insurance.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Please make sure with our academic sessions you are choosing a payment schedule! Once this payment schedule is chosen, it cannot be changed throughout the season.

Tuition fees will be posted after your account has been reviewed.

When filling in Health Insurance information please put N/A IF you DO NOT have insurance.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Please make sure with our academic sessions you are choosing a payment schedule! Once this payment schedule is chosen, it cannot be changed throughout the season.

Tuition fees will be posted after your account has been reviewed.

When filling in Health Insurance information please put N/A IF you DO NOT have insurance.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Please make sure with our academic sessions you are choosing a payment schedule! Once this payment schedule is chosen, it cannot be changed throughout the season.

Tuition fees will be posted after your account has been reviewed.

When filling in Health Insurance information please put N/A IF you DO NOT have insurance.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Please make sure with our academic sessions you are choosing a payment schedule! Once this payment schedule is chosen, it cannot be changed throughout the season.

Tuition fees will be posted after your account has been reviewed.

When filling in Health Insurance information please put N/A IF you DO NOT have insurance.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

Payment Schedule*

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*

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)

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

Account Information

Credit Card

Required Policies

(Show-Hide Details)