Training 2016 - Registration Form

Please note that we only accept Visa, Mastercard, or Discover. Also, make sure cookies are enabled on your browser !


First Name:



Last Name:



Gender:


Date of Birth:

Month

Day

Year


How Did You Hear About Us?




Parent 1 Name:



Email:


Cellphone:

Area Code

First 3 digits

Last 4 digits



Parent 2 Name:



Email:


Cellphone:

Area Code

First 3 digits

Last 4 digits



Training Type:

Number of Sessions:

Requested Trainer:

Requests

Please let us know any requests. If your child wants to train with a specifc group of children, please enter their names in the box too.




By checking this box, I understand that I am paying membership dues for a child in this program. Membership dues are not transferable to other children or parents.

By checking this box, I understand that a child's membership can be terminated due to conduct deterimental to the program.

By checking this box, I understand that membership dues are nonrefundable after 96 hours of making an online payment and I have read the Payment and Privacy policy. There are no exceptions regardless of reason or circumstance. I futher understand that my child cannot participate in any activities if only a partial payment has been made by the payment deadline unless I am on an approved payment plan.

Click here to read our policy.

By checking this box, I agree to sign and submit a participation consent form.

Click here for the Consent Form





Please note that you will recieve two emails. The first email is a registration confirmation email. The second email is a payment confirmation email. If you do not recieve the second email, you are not properly registered.