Gym Quest Gymnastics, LLC.

Child's Name * First Last
Provide the name of the person to be enrolled in a class
Parent or Guardian's Name * Title First Last Suffix
provide the name of the parent or legal guardian of the child named above
Age of Child *

Provide the age of the child named above | Examples: "12 years" ; "19 months"
Date of Birth * MM / DD / YYYY
Provide the Date on which the child named above was born
Home Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Provide the address of the child named above
Phone Number * ### - ### - ####
Provide the phone number that is best to reach the parent/ guardian named above
Parent's Email Address *

Please provide a valid Email Address that Gym Quest can use to contact a legal parent or guardian if needed.
Summer 2012 Class & Camp Registration ONLY
Please Select Class, Time and Day or
Summer Camp Weeks
June 18th to August 17th, 2012

*Tuition pays for one class on one day OR one Summer Camp experience if registering for Quest Adventure Day Camps*

9 weeks for the price of 8 & NO registration fee!!! *
Quest Beginners :: Friday 9:30 - 10:15 Quest Beginners :: Saturday 9:30 - 10:15 Quest Kids I :: Monday 11:00 - 11:45 Quest Kids I :: Saturday 9:30 - 10:15 Quest Kids I :: Wednesday 10:45 - 11:30 Quest Kids II :: Monday 1:00 - 2:00 Quest Kids II :: Wednesday 11:45 - 12:45 Quest Kids II :: Thursday 11:00 - 12:00 Quest Kids II :: Friday 9:30 - 10:30 Quest Introduction :: Monday 5:00 - 6:00 Quest Introduction :: Tuesday 5:00 - 6:00 (9+ UP) Quest Introduction :: Thursday 2:00 - 3:00 Quest Introduction :: Saturday 10:30 - 11:30 Quest Intermediate :: Tuesday 3:30 - 5:00 Quest Intermediate:: Wednesday 3:00 - 4:30 Quest Intermediate :: Thursday 3:00 - 4:30 Urban Gymnastics:: Tuesday 5:00 - 6:00 Quest Advanced :: Thursday 5:00 - 7:00 Trampoline and Tumbling :: Tuesday 1:00 - 2:00 Trampoline and Tumbling :: Thursday 4:00 - 5:00 Homeschool Class :: Friday 11:00 - 12:00 Quest Adventure Days June 18th - 22nd, 2012 Mini Quest Adventure Days June 18th - 22nd, 2012 Quest Adventure Days June 25th - 29th, 2012 Mini Quest Adventure Days June 25th - 29th, 2012 Quest Adventure Days July 2, 3, 5 & 6th, 2012 Quest Adventure Days July 9th - 13th, 2012 Mini Quest Adventure Days July 9th - 13th, 2012 Quest Adventure Days July 16th - 20th, 2012 Mini Quest Adventure Days July 16th - 20th, 2012 Quest Adventure Days July 23rd - 27th, 2012 Mini Quest Adventure Days July 23rd - 27th, 2012 Quest Adventure Days July 30th - Aug. 3rd, 2012 Mini Quest Adventure Days July 30th - Aug. 3rd, 2012 Quest Adventure Days Aug. 6th - 10th, 2012 Mini Quest Adventure Days Aug. 6th - 10th, 2012 Quest Adventure Days Aug. 13th - 17th, 2012 Mini Quest Adventure Days Aug. 13th - 17th, 2012

Please select the class, day and time for which you would like to pre-register your athlete
USAG Disclosure
"By the very nature of the activity, gymnastics carries a risk of physical injury. The risks include minor injuries such as bruises and more serious injuries such as broken bones, dislocations and muscle pulls. The risk also includes catastrophic injuries such as permanent paralysis or even death from landings or falls on the back, neck or head."

By checking the box below, you confirm that you have read and that you understand the above USAG disclosure. *
I have read and I understand the USAG disclosure My child is a female My child is a male
Type the two words from the image below. *
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