Richfield Gymnastics Club (a non-profit organization)
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Pre-beginner Tots
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Pre-beginner Tumblers
(3 years old
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Beginner I
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Beginner II
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Advanced
Beginner
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Intermediates
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Advanced Intermediate
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Tuition: Read Carefully!
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Mailing List: If you were put on our mailing list, return the bottom half of this form with payment by Saturday, November 17th. We will not hold a place for
your child if the
registration form and payment are not received by this date.
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Open Registration: For new students only:
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Richfield Gymnastics Club
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Student Name ___________________________________ Age ________ Birth Date _______________Address ____________________________________________________________________________City, State __________________________________________________ Zip Code ________________Parent/Guardian ___________________________ Phone #s H: ______________ CL:______________Class Selected: (Mark 1st and 2nd choice in space below) |
1st Choice:_______________________
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You will be notified only if you do not receive your first choice. If you don’t hear from us, plan to attend the first session of your first choice class. |
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Credit Card $ ___________Type of Card circle one(Visa / MasterCard), Name on Card_______________________________Credit Card Number _________________________ Exp. Date ___________________________Billing address of credit card, Street _________________________________________________City ________________________________ State _______________ Zip Code ______________Cash received $ _____________Check received $ _____________________ Check number _____________ Date _____________Registration fee received $ __________ Session received (i.e. fall, winter, spring, summer) _________
Parent/Guardian Signature: ______________________
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