Slidell Gym Rompers Registration Form

(Please print this page to register your child - make sure you click on this section of the Website, and that your printer is set to only print this frame, which is a standard printer setting.)

Summer, 2009, Slidell Gym Rompers Session

Summer Fees: 1 class per week - $90 (siblings $75)

10% discount for Cross Gates members: 1 Class - $81 (siblings - $67)

Class days and times for which you are registering your child:

 

 

 
Child's Name: Home Phone:
Parent's Name: Work Phone:
Address: Cell Phone:
Apartment/Suite: Email:
City, State, Zip: Child's Age:           Birthday:

Please list the names, ages and birthdays of any siblings to be registered here:

 

 

 

 
How did you hear about Gym Rompers?

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

Signature: ____________________________________________________

Please include your check, payable to "Slidell Gym Rompers," with this registration form.  Refunds are available only prior to the second class.

Registration information should be mailed to:

Slidell Gym Rompers - 1134 Mary Kevin Drive, Slidell, Louisiana 70461
Total fee enclosed: $_________________