Parent & Tot Gymnastics
Registration Form: Mon/Wed Jan 13 - Apr 2 (no class: Feb 3, 5, 10, 17, Mar 24&26) 10:00-10:45 AM
Student's Name
*
First Name
Last Name
Student's Age
*
Parent's Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Please add here any additional information we should be aware of:
Photo Consent:
*
Yes, I grant my permission to use photographs taken during Jr. Acronaire classes for promotional, advertising, and/or webcontent regarding the Jr. Acronaire program and facility. By submitting this application you consent to the photo and videos that will be shot during these camps. Burman University retains all rights to use these sounds, still, or moving images for educational, promotional, advertising, or other purposes that support the mission of the University.
No, I don't grant my permission.
My Products
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Parent & Tot Gymnastics
GL585050-1472: Parent & Tot Gymnastics | Mon\Wed | 10:00-10:45 AM | Jan 13 - Apr 2 (no class: Feb 17, Mar 24&26) - (now payment for the remaining 12 classes)
$
128.70
CAD
Credit Card
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