Nasser Gymnastics Academy Online Registration

We're excited to get your child started at Nasser Gymnastics Academy! Complete this form and we'll email you with class options and to complete enrollment. A $45 enrollment fee will be due for placement. Please note that we start new gymnastics class students ages 3-8 in a beginner class for their first month. We place that class at the beginning of each month. Once new students have completed the beginner curriculum, they will move into an open regular class of your choosing.

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Referral Information

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Primary Phone*

Contact #1

Contact #1 First Name*

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Contact #2

Contact #2 First Name*

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Student #1

Student's First Name*

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Additional Info

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School*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

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Student's Age*

New or Returning Student*

Gymnastics, Cheer, or Tumble?*

Student #2 (Show-Hide Details)

Student's First Name*

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Additional Info

T-Shirt Size*

School*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Student's Age*

New or Returning Student*

Gymnastics, Cheer, or Tumble?*

Student #3 (Show-Hide Details)

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T-Shirt Size*

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Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Student's Age*

New or Returning Student*

Gymnastics, Cheer, or Tumble?*

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Student's First Name*

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Additional Info

T-Shirt Size*

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Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Student's Age*

New or Returning Student*

Gymnastics, Cheer, or Tumble?*

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

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

Additional Info

T-Shirt Size*

School*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Student's Age*

New or Returning Student*

Gymnastics, Cheer, or Tumble?*

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Comments

Payment Information

Account Information

e-Payment Schedule*

Membership Type: what type of class are you interested in for this child*

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

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Student #3 (Show-Hide Details)

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