Registration
Let's get CREATIVE @ the Paint Party!! June 15th 7- 9pm $12.00 for the first 10 guests to pre-register $15.00 for all others.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info
 
 
Students entered below will be added to your family's account
 
Questions/Options:
How did you hear about this event? A Friend, Facebook, Instagram, Website?*
Are you a member at Jersey Shore Gymnastics?*
Have you ever attended a Class, Event or Birthday Party at Jersey Shore Gymnastics?*
If so, how long ago?
Who can we thank for referring you to Jersey Shore Gymnastics?
Does your child have any allergies, and if so what type?*
 
Additional Information:
 
Open Gym Rules
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I've read the above and agree.
 
Agreement
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I've read the above and agree.
 
Policies
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*