VERTIGO

Gymnast Name *

First Name

Last Name

Gymnast Birthday *

MM

DD

YYYY

Home Phone

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Father Name

First Name

Last Name

Father Phone

(###)

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Mother Name

First Name

Last Name

Mother Phone

(###)

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Emergency Contact *

First Name

Last Name

Phone - Emergency Contact *

(###)

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Teams

Please choose one of the options below:

BEGINNERS | Age 3-5 | Mondays | 4:15 - 5:15 p.m. | Sept. 7, 2021 - Jun 28, 2022 | Cost $90/month + $75 NRF Registration |

BEGINNERS | Age 3-5 | Tuesdays | 5:00 - 6:00 p.m. | Sept. 7, 2021 - Jun 28, 2022 | Cost $90/month + $75 NRF Registration |

PERFORMANCE | Age 7-12 | Mondays | 05:15 - 06:15 p.m. | Sept. 7, 2021 to Jun 28, 2022 | Cost $90/month + $75 NRF Registration |

PERFORMANCE | Age 7-12 | Tuesdays | 07:30 - 08:30 p.m. | Sept. 7, 2021 to Jun 28, 2022 | Cost $90/month + $75 NRF Registration |

PRE-COMPETITIVE | Age 7-12 | Mon & Thu | 05:15 - 06:15 p.m. | Sept. 9, 2021 to Jun 30, 2022 | Cost $130/month + $75 NRF Registration |

COMPETITIVE BEGINNERS | Age 7-12 | Tue 06:00 - 08:00 p.m. & Thu 04:15-06:15 p.m.| Sept. 7, 2021 to Jun 30, 2022 | Cost $205/month + $75 NRF Registration |

COMPETITIVE SENIOR "A" | Age 7-12 | Tue 06:00 - 08:00 p.m. & Thu 04:15-06:15 p.m.| Sept. 7, 2021 to Jun 30, 2022 | Cost $255/month + $75 NRF Registration |

COMPETITIVE SENIOR "A" | Age 7-17 | Mon 04:15 - 06:15 p.m. & Tue 05:00 - 08:30 p.m. & Thu 04:15-06:15 p.m.| Sept. 7, 2021 to Jun 30, 2022 | Cost $340/month + $75 NRF Registration |

Payment *

Please choose your preferred method of payment

E-Transfer

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