Class Enrollment form for The Little Gym
Student Name: *
D.O.B. *
Parent Name: *
Phone Number *
Email *
Preferred method of contact
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Registering for which class
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Day of the Week
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Time of class
Payment Options $88 - Every 4 weeks (monthly) or $280- Every 13 weeks (quarterly) Payment schedule will be in your emailed Welcome Folder *
By clicking below, I authorize the initial payment and all remaining scheduled payments to the credit card on file, until I provide proper two weeks notice to cancel my child's enrollment. The $40 annual Membership fee will automatically be charged on my first payment and annually while still enrolled. *
Please use *
If you are using a new credit card, please include swipe your card while at the gym; call in a credit card or include your information below with your credit card number; name on card; expiration date & CVC code
Membership Promises. At TLG we are more than a children’s fitness facility, we are a community! We provide an experience at the gym all while using our 3-Dimensional learning to assist in creating the overall well-being of your child. Below are promises between TLG and You, as our Member. Please review and click yes below to acknowledge the promises below. A copy of our Member Promises will be in your digital Welcome Folder.
I have read & agree to TLG's promises & accept TLG's promises to me. *
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