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Auto Pay Enrollment Form


Registration Instructions

Please print and bring a completed Registration Form and Auto Pay Enrollment Form to your first class. The Registration Form consists of two pages, a Student Information Form and Club Waiver & Release Form. The Registration Form must be completed and signed by the child’s parent or legal guardian PRIOR to participation in a class. Parents attending the Mom and Tots class need to please complete Registration Forms for all parents participating in the class in addition to a Registration Form for the child. We also require that you review the Rules & Policies before attending your first class. Auto pay is required for payment for monthly fees for all students.

It is required by our liability insurance company to communicate concussion signs to all participants of our program. Please visit the CDC website for information about the signs and symptoms of concussions:

Please call (386) 454-1779 or email for more information about our programs or class registration!