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Registration Form
To register please complete the Registration form and mail or drop off the completed form to 202 VFW Avenue, Grasonville, MD 21638.  We will contact you with Class Confirmation and Tuition.


Island Gymnastics
Registration Form
Gymnasts Name___________________________Birth Date_____________

Parent/Guardian’s Name(s)_______________________________________

Address______________________________________________________

Telephone #’s Mom Home:_______________Cell/Work:________________

                        Dad  Home:_______________Cell/Work:________________

E-mail Address:________________________________________________

Other contact(family/neighbor):____________________________________

Experience:___________________________________________________

Medical Restrictions:____________________________________________

Day & Time of Class Registered for:________________________________

2nd Gymnasts Name_________________________ Birth Date___________

Experience:___________________________________________________

Medical Restrictions:____________________________________________

Day & Time of Class Registered for:________________________________

My gymnast(s) attend school at:___________________________________

How did you hear about us?______________________________________

A more convenient time would be:_________________________________

It is your responsibility to arrive and pick up your child on time.  Island Gymnastics is not responsible for any children left unattended in the facility.  We reserve the right to cancel any class based on insufficient enrollment.  There is a $25 late fee, and a $25 returned check fee.  We reserve the right to charge current rate of interest on any past due accounts.  It is suggested that participants carry medical insurance.

I, the undersigned parent/guardian, understand that the activities of gymnastics involve inverted and other movements that may cause injury or even death.  I do hereby release the owner, staff, and participants of Island Gymnastics, Inc. from any actions and or claims from injury due to equipment, injury from participation in classes and or exhibitions, or injury from observation of classes and or exhibitions.  Having read and understood the information stated above, I hereby give my permission for the above registered student(s) to participate in classes held by Island Gymnastics.

__________________________________               ________________________________________
Date                                                                            Parent’s Signature

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