Mandeville/Covington Gym Rompers Registration Form

(This form is printable from this page.)

Please fill out and mail this form, with enclosed payment, to:

Gym Rompers, 10551 Highway 1077, Folsom, Louisiana 70437

Or, you may leave it at the front desk of the Mandeville Sports Complex (please label it "Gym Rompers").

Child's name:
Child's Birthday:  
Parent's name:
Telephone #:  
Address:  
Email Address:  
Class/Day:  
Session (please circle):

 Winter/Spring - 2010       

(You will not receive a confirmation.  If your first choice is unavailable, you will be notified.)
How did you hear about Gym Rompers? Kids Directory     Commercial     Friend     Prior Student     Other ______________________

I understand that Gym Rompers is a parent/child program and that I am responsible for my child's safety while attending the program.

Signature ________________________________________     Date ________________________

Payment is due upon registration.  Refunds must be requested before the 2nd class of the session.  Sorry, no exceptions.

Please make checks payable to "Gym Rompers."