California Gymnastic Services Registration Form

Registration Form...

CALIFORNIA GYMNASTIC SERVICES REGISTRATION FORM

NAME __________________________________ SCHOOL_________________________
HOME ADDRESS __________________________________________________________ CITY___________________________________________ ZIP ______________________ AGE __________________ DATE OF BIRTH ____________________________________
TELEPHONE: DAY _________________________ EVE __________________________
EMAIL (optional) ___________________________________________________________

PAYMENT METHOD: CHECK____ CASH____ VISA ____ MASTERCARD____
CREDIT CARD #: _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ Expiration Date: __________________
Cardholder Name____________________________ Signature: _______________________
Address (if different from above) ________________________________________________ Zip: _______________
Amount: $______________ One time charge _____ Monthly _____

I understand that fees are due and payable prior to the first day of each session. A $5.00 late fee will be charged for all past due payments of 14 days or more. If tuition is overdue more than 3 weeks, the student will not participate in classes. A $25.00 fee will be charged for returned checks. Undersigned agrees any photos taken of their child may be used for promotional use by California Gymnastic Services (CGS Gymnastic Services, Inc). Gymnastics can involve the risk of injury. As such, you understand and voluntarily accept these risks and agree that California Gymnastic Services (CGS Gymnastic Services, Inc.) will not be liable for any injury or any damage to your child resulting from the negligence of California Gymnastic Services or anyone on their behalf.

Date_________________ Signature____________________________________

Home Page

California Gymnastic Services/P.O. Box 23374/Pleasant Hill, Ca 94523
1-800-318-6475
Email: CalGymSvc@sbcglobal.net