Class Availability Request - Peninsula Gymnastics San Mateo
This form is only to request class availability. If you’re doing a trial class or an evaluation, you must fill out a waiver.

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Email *
Parent's Name *
Parent's Phone *
Please enter the phone number in this format xxxxxxxxxx
Child #1's First Name *
Child #1's Last Name *
Child #1 - Date of Birth *
Please enter date as: MM/DD/YYYY
Class Request for Child #1. (DAYS) - (TIMES) - (LEVEL) - (BOY / GIRL) *
Please list all the classes that you'd like to enroll this child in. Example: Monday - 5:00pm - Girls Level 1 / Tuesday - 3:00 pm - Boys Level 1. One new line for each class request please.
Child #2's First Name
Child #2's Last Name
Child #2 - Date of Birth
Please enter date as: MM/DD/YYYY
Class Request for Child #2. (DAYS) - (TIMES) - (LEVEL) - (BOY / GIRL)
Please list all the classes that you'd like to enroll this child in. Example: Monday - 5:00pm - Girls Level 1 / Tuesday - 3:00 pm - Boys Level 1. One new line for each class request please.
Desired Start Date
MM
/
DD
/
YYYY
Forms of Payments
Monthly AutoPayment (Not By Credit Card)
How it works:

Tuition is automatically deducted on the 4th of each month from a checking account by Club Systems. An Annual fee will be automatically deducted from your bank account in January every year starting January 2022. There will be a $20 fee for insufficient funds.

How do I set it up:

Please print out the AutoPayment Authorization form (linked below), fill it out and turn it into the Front Desk.
https://www.peninsulagym.com/wp-content/uploads/2021/06/Monthly-Auto-Payment-Authorization-Form_SM-1.pdf
Quarterly Payment
How it works:

Tuition is due by the 5th of each month-quarterly payment. A late fee of $15 will be charged to accounts whose payments are received after the 5th of the first month of each quarter. There will be a $20 fee for returned checks and insufficient funds.


How do I set it up:

Make the appropriate quarterly payment for July, August, & September depending on your child’s weekly hours. You can do this via PayPal on our Payment Page or pay over the phone via 650-571-7555
Payment Page: https://www.peninsulagym.com/payment-san-mateo/

1 Hour Per Week         $114 per month
1.5 Hours Per Week $155 per month
2 Hours Per Week $195 per month
3 Hours Per Week $240 per month



Agreements *
Required
A copy of your responses will be emailed to the address you provided.
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