Registration Form

 

All fields with an * are required, if exists

 

Date of Enrollment* 

 
Student's Name*    
 
Date of Birth*
Gender*   


 
School
Student's Phone*  
 
Street Address*  
City, State, Zip*  
 
Mother's or Guardian Information*  

Name*		  
 
Mother's Street Address
(required if different from above*)  		 
 
 

City, State, Zip
(required if different from above*) 

Mother's Email Address*  
 
Mother's Home Phone*   
 
Work Phone* 
Cell Phone*  
 
Father's or Guardian Name Information*  
Name*  
 
Father's Street Address  
(required if different from above*)  
City, State, Zip
(required if different from above*)
 
 
Father's Email Address  
 
Father's Home Phone*  
 
Work Phone* 
Cell Phone*  
 
Emergency Contact*  
Name*  
 
City, State, Zip*  
 
Street Address*
Home Phone*  
 
Work Phone*
Cell Phone*  
 
Doctor's Information*  
Name*  
 
Phone*
Street Address*  
 
City, State, Zip*
Comments or Questions  
 
   
How did you hear about American Elite Gymnastics?
Programs of Interest*  
Kinder Gym Boys or Girls Recreational Gymnastics Team Compulsory Gymnastics Team Optional Gymnastics 
Tumbling Cheer Kickboxing  
 

Please enter the class start times
and days you would like to attend class

If you have any questions about this form,
please call the gym at (480) 42ELITE 

Thank you. Click on the gymnast when ready
to submit the form.