Atlanta North Stars Gymnastics Online Registration

Registration

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WELCOME TO ATLANTA NORTH STARS GYMNASTICS! Please complete the following registration form. PLEASE NOTE: In order to secure your spot credit cards will be processed for class fees at the time of signup! All payments are non-refundable! Contact us with any questions. Thank you! Summer Registration is for June AND July classes. When signing up for classes you are agreeing to register and pay for both June AND July.

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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*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

Contact #1

Contact #1 First Name*

Last Name *

Type*

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

Type

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*

Additional Info

Student Email

Special Needs

Allergies*

Medications (Leave blank if NONE)

Primary Doctor

Please click on the Search button below, then choose the class.

Note: You will only be able to see the classes that your child is eligible to register by age.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Special Needs

Allergies*

Medications (Leave blank if NONE)

Primary Doctor

Please click on the Search button below, then choose the class.

Note: You will only be able to see the classes that your child is eligible to register by age.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Special Needs

Allergies*

Medications (Leave blank if NONE)

Primary Doctor

Please click on the Search button below, then choose the class.

Note: You will only be able to see the classes that your child is eligible to register by age.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Special Needs

Allergies*

Medications (Leave blank if NONE)

Primary Doctor

Please click on the Search button below, then choose the class.

Note: You will only be able to see the classes that your child is eligible to register by age.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Special Needs

Allergies*

Medications (Leave blank if NONE)

Primary Doctor

Please click on the Search button below, then choose the class.

Note: You will only be able to see the classes that your child is eligible to register by age.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

e-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*

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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)

Contact #2

How can we contact you?

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)