Mary Jane's Gymnastics - Flour Bluff, LLC Online Registration

Registration

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Welcome to Mary Jane's Gymnastics, LLC. Please complete the following registration form and pick your classes. We look forward to having you be a part of our family and coaching your athlete! If you are a returning family, you already have an account. Please click the link above and log in with your email and set up a password. If you are new to Mary Jane's Gymnastics, please fill out the form below and follow prompts. Make sure you select the correct location you are interested in joining.

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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*

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

Contact #2

Contact #2 First Name

Last Name

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*

Class will start and end in the parent observation room area

Students are required to have their hair up out of their face.

No Jewelry

No Socks/Shoes

Bring a water bottle (all drinks must have a covered top/no sodas in gym area)

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Class will start and end in the parent observation room area

Students are required to have their hair up out of their face.

No Jewelry

No Socks/Shoes

Bring a water bottle (all drinks must have a covered top/no sodas in gym area)

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Class will start and end in the parent observation room area

Students are required to have their hair up out of their face.

No Jewelry

No Socks/Shoes

Bring a water bottle (all drinks must have a covered top/no sodas in gym area)

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Class will start and end in the parent observation room area

Students are required to have their hair up out of their face.

No Jewelry

No Socks/Shoes

Bring a water bottle (all drinks must have a covered top/no sodas in gym area)

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Class will start and end in the parent observation room area

Students are required to have their hair up out of their face.

No Jewelry

No Socks/Shoes

Bring a water bottle (all drinks must have a covered top/no sodas in gym area)

Enroll in Classes

Select Class *

Add Another Student

Required Policies

(Show-Hide Details)

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*

Registration

Referral Information

Family Information

Where do you live?

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Enroll in Classes

Student #2 (Show-Hide Details)

Enroll in Classes

Student #3 (Show-Hide Details)

Enroll in Classes

Student #4 (Show-Hide Details)

Enroll in Classes

Student #5 (Show-Hide Details)

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

Required Policies

(Show-Hide Details)