Mid-Coast Gymnastic Studio, Inc. Online Registration

Registration

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Welcome to Mid-Coast Gymnastic Studio, Inc.! We offer gymnastic, dance, cheerleading and martial arts classes for ages 18 months and up! Our competitive programs include USA Gymnastics and Excel, USASF Cheerleading, and Dance Teams. Become a part of our family and "Ride The Wave!!" Please complete the following registration form. IMPORTANT: Your credit card is NOT automatically charged when entering your card information during registration. You must pay for classes from your parent portal

* 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*

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* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

Please click on the SELECT CLASS button below to search and choose classes.

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

Please click on the SELECT CLASS button below to search and choose classes.

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

Please click on the SELECT CLASS button below to search and choose classes.

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

Please click on the SELECT CLASS button below to search and choose classes.

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

Please click on the SELECT CLASS button below to search and choose classes.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Assumption of Risk

I certify that the child being registered has no disabilities or conditions that could limit his/her full and active participation in gymnastics, dance, cheer, martial arts or other specifically offered physical education programs. I understand that any activity involving motion, height, rotation of the body is potentially hazardous. In consideration for the use and/or services of Mid-Coast Gymnastic Studio, Inc., I hereby accept the risk and have read and agree to abide by the gym policies.

I've read the above and agree.

Payment Policies

In registering for a recreational gymnastic, dance, cheer, and/or martial arts class, I am responsible for paying all tuition fees by the second week of classes each session. If payment is not received, I give Mid-Coast Gymnastic Studio, Inc., permission to charge the billing account on file for all fees.

COMPETITIVE TEAMS
All tuition for competitive gymnastic, cheer, and/or dance team members is due by the 15th of each month. If payment is not received, I give Mid-Coast Gymnastic Studio, Inc., permission to charge the billing account on file for all tuition.

Any additional fees for competitive team members are due by the due date stated on the billing statement. If payment is not received two weeks after the due date, I give Mid-Coast Gymnastic Studio, Inc., permission to charge the billing account on file for all fees due.

I've read the above and agree.

Payment Policies

In registering for a gymnastic, dance, and/or cheer class at Mid-Coast, I will be held responsible for the full cost of the recital DVD and costume requirements for the end of the season's recital.

I've read the above and agree.

Picture Release

I give my permission to use my child's photo on Mid-Coast's website, Facebook, and/or advertisements. To opt out of the picture release email Kim at kwmidcoast1@verizon.net

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*