BGA Movers & Shakers September Registration
Please complete one form per gymnast. Completion of this form is not confirmation of registration. Registration is confirmed via email or phone call with Emily and after payment is made.

Ensure that you have read the waiver in full. We will be using your email address to contact you about any updates regarding the gym.
Email address *
Participant's Name *
Participant's Date of Birth *
MM
/
DD
/
YYYY
Participant's Age as of Sept 1, 2020 *
Parent/Guardian Name *
Participant Medical Concerns (input NA if none) *
Street Address *
City *
Province *
Postal Code *
Emergency Contact Name (Parent/Guardian) *
Emergency Contact Number (Parent/Guardian) *
Emergency Contact Name 2 (optional)
Emergency Contact Number 2 (optional)
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