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If you have not filled out a waiver, please do so before filling out this form!

Welcome to Jersey Jets Gymnastics!

Please refer to the School Year or Summer Schedule on our website when choosing a class for your student.  If you have not filled out a waiver, please select the "Sign our Waiver!" button on our website. This form does not guarantee enrollment.  Registration is on a first come, first served basis.

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Class Requested
Is this form for School Year (Sept-June) or Summer (July & August)? *
School Year (Sept-June)
Summer (July & August)

Class Title (Example: Beginner 5-7, Advanced 9+, Mom and Me) *
Day*

Time *

Additional Class Requested
Day

Class Time

Additional Class Requested
Day

Class time
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Class Requested
Is this form for School Year (Sept-June) or Summer (July & August)? *
School Year (Sept-June)
Summer (July & August)

Class Title (Example: Beginner 5-7, Advanced 9+, Mom and Me) *
Day*

Time *

Additional Class Requested
Day

Class Time

Additional Class Requested
Day

Class time
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Class Requested
Is this form for School Year (Sept-June) or Summer (July & August)? *
School Year (Sept-June)
Summer (July & August)

Class Title (Example: Beginner 5-7, Advanced 9+, Mom and Me) *
Day*

Time *

Additional Class Requested
Day

Class Time

Additional Class Requested
Day

Class time
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Class Requested
Is this form for School Year (Sept-June) or Summer (July & August)? *
School Year (Sept-June)
Summer (July & August)

Class Title (Example: Beginner 5-7, Advanced 9+, Mom and Me) *
Day*

Time *

Additional Class Requested
Day

Class Time

Additional Class Requested
Day

Class time
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Class Requested
Is this form for School Year (Sept-June) or Summer (July & August)? *
School Year (Sept-June)
Summer (July & August)

Class Title (Example: Beginner 5-7, Advanced 9+, Mom and Me) *
Day*

Time *

Additional Class Requested
Day

Class Time

Additional Class Requested
Day

Class time
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Class Requested
Is this form for School Year (Sept-June) or Summer (July & August)? *
School Year (Sept-June)
Summer (July & August)

Class Title (Example: Beginner 5-7, Advanced 9+, Mom and Me) *
Day*

Time *

Additional Class Requested
Day

Class Time

Additional Class Requested
Day

Class time
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Class Requested
Is this form for School Year (Sept-June) or Summer (July & August)? *
School Year (Sept-June)
Summer (July & August)

Class Title (Example: Beginner 5-7, Advanced 9+, Mom and Me) *
Day*

Time *

Additional Class Requested
Day

Class Time

Additional Class Requested
Day

Class time
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Class Requested
Is this form for School Year (Sept-June) or Summer (July & August)? *
School Year (Sept-June)
Summer (July & August)

Class Title (Example: Beginner 5-7, Advanced 9+, Mom and Me) *
Day*

Time *

Additional Class Requested
Day

Class Time

Additional Class Requested
Day

Class time
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Class Requested
Is this form for School Year (Sept-June) or Summer (July & August)? *
School Year (Sept-June)
Summer (July & August)

Class Title (Example: Beginner 5-7, Advanced 9+, Mom and Me) *
Day*

Time *

Additional Class Requested
Day

Class Time

Additional Class Requested
Day

Class time
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Class Requested
Is this form for School Year (Sept-June) or Summer (July & August)? *
School Year (Sept-June)
Summer (July & August)

Class Title (Example: Beginner 5-7, Advanced 9+, Mom and Me) *
Day*

Time *

Additional Class Requested
Day

Class Time

Additional Class Requested
Day

Class time
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Parent's Phone Number

Parent's Phone Number *
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Class Requested
Is this form for School Year (Sept-June) or Summer (July & August)? *
School Year (Sept-June)
Summer (July & August)

Class Title (Example: Beginner 5-7, Advanced 9+, Mom and Me) *
Day*

Time *

Additional Class Requested
Day

Class Time

Additional Class Requested
Day

Class time
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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