Recreational Registration Fall 2020

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    Please select class (required):

    Session#1: Oct 3, 2020 – Nov 7, 2020 (6 weeks) 10:15-11:15am ($125)Session#2: Nov 14, 2020 – Dec 19, 2020 (6 weeks) 10:15-11:15am ($125)Session#1 & Session#2: Oct 3, 2020 – Dec 19, 2020 (12 weeks) 10:15-11:15am ($225.00)

    Location: WHC - located at 115 Chain Lake Drive, Bayers Lake

    ATHLETE INFORMATION:

    Athlete Name (required):

    Date of Birth (required):
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    Age (required):

    Medical Issues or Concerns:

    PARENTS/GUARDIANS INFORMATION:

    Parent/Guardian#1:

    Name (required):

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    Occupation(required):

    Email (required):

    Mailing Address (required):

    Home Phone (optional):

    Parent/Guardian#2:

    Name (required):

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    Emergency contact:

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    __________________________________________

    How did you hear about illusions? (required)

    Please specify:

    __________________________________________

    I have read MEDIA RELEASE FORM and give Illusions Rhythmic Gymnastics Club (Illusions) permission to use and publish, for promotional purposes by any means, including but not limited to, the Illusions website, Facebook, Instagram, online ZOOM training and for media release, and on any number of occasions:

    Photographic and Digital Images of my daughter
    Video Images of my daughter

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