REGISTRATION

Child's Last Name:
Child's First Name:
Age:
DOB:
Gender:
M F
Address:
City:
State:
Zip Code:
Home Phone Number:
 Cell Phone Number:
Parent's Email Address:

CLASS SCHEDULE
Style
Make one (1) selection please
Hip-Hop
Tap
Jazz
Ballet
Kinder-Combo*
Tuesdays at 5:30pm
Thursdays at 3:30pm

Program Fees (9 week sessions - click here for session dates): One day a week is $90.00 and two days a week is $170.00. Payable at time of registration.
Family Discount: There is a 10% program fee discount for each additional child registered, regardless of the program.
Discounted Annual Registration Fee: $15.00 per child.  If your child is signed up for more than one activity, only one registration fee is required with this application. Please make all checks payable to GymStreet USA Corp. There is a $15.00 fee for all returned checks.

Please fill out the registration form in it's entirety, print it by clicking here Print the entire registration form and mail it to:
GymStreet USA
P.O. Box 71
Tewksbury, MA 01876

Once your registration has been processed, you will receive a letter of confirmation from GymStreet USA. If you have any questions, please contact us at (978) MyGymSt or via email at GymStreet@GymStreetUSA.com.

 

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Signature of Parent or Guardian 		____________________________
Print name of Parent or Guardian 		__________________
Date