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MEADOWLAND GYMNASTICS PRE-REGISTRATION 2010

Student Name _________________________________________ Date of Birth______________

Street Address ___________________________________________________________________

City ___________________________________________ State ____________ Zip __________

Parent's Name ____________________________________________________________________

Parent's Email Address (Optional)_________________________________________________

Class Day & Time _________________________________________________________________

Please refer to class schedule to make your class selection. Please print this page, complete the above information and mail to the gym with your $35.00 check for registration for one child and $30.00 for each additional child. You will need to complete a full registration form and waiver when you come for your first class. If you have additional questions, please call the gym at 724-745-5558. Thank you!