2D 2Go Registration Form
Email address *
School/Academy *
Your answer
Room/Teacher *
Your answer
Athlete's First & Last Name *
Your answer
Athlete's Age *
Your answer
Athlete's Date of Birth *
MM
/
DD
/
YYYY
Athlete's Gender
Parent First & Last Name *
Your answer
Phone *
Your answer
Address *
Your answer
City *
Your answer
Zip *
Your answer
Can we send communication & promotional emails?
Use of child's photo on 2D Sports & Fitness website and/or social media?
Emergency Contact *
Your answer
Relationship to Child *
Your answer
Phone *
Your answer
Allergies/Health Conditions
Your answer
Payment - Checks can be paid to 2D Sports & Fitness. Credit card info can be submitted in this form or given to 2D Sports & Fitness on the day of the first class. Zelle account phone number is 806-438-3227.
Form of Monthly Payment? *
Credit Card Authorization
I authorize 2D Sports & Fitness, LLC to charge the following credit card on the 25th of each month for the following month’s tuition of $40.00 as subscribed in my enrollment. I understand we can unenroll in our class by the 15th of any month and my card will not be charged on the 25th for the following month’s tuition. If unenrollment occurs after the 15th of the month, then the following month’s full tuition will be charged to the card and is non-refundable. If my card fails to authorize for a payment by the 5th of the month, I will be liable for a $25 late fee.
Cardholder's First & Last Name
Your answer
Date
MM
/
DD
/
YYYY
Card Number
Your answer
Expiration Date
Your answer
CVV
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of ilovesng.org. Report Abuse