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Student's Name:
Class Level:
Address:
City:
State:
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DC - Washington DC
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VA - Virginia
VT - Vermont
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
Not USA
Zip:
Phone/Home:
PhoneCell:
Work:
Tuition:
Total Included:
Child's T-Shirt Size:
1st/2nd Choice Day:
1st/2nd Choice Time:
Current Age:
DOB:
Payments Included:
Registration:
E-Mail:
Parent's Name:
I acknowledge that by participating in gym activities and/or by moving around in the gym, with its equipment, apparatus and possible uneven surfaces, there is risk of injury. I acknowledge that I accept the risk and waive the option to sue should I, or any minors for whom I am responsible, incur injury. By waiving the option to sue, I also thereby release Beach Bounders Gymnastics & Athletics and its agents or employees from liability for such injury.
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