First Name :

Last Name:

Birthdate (mm/dd/year):

Sex:

Address:

Address 2:

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Name of Contact:

Mother's Name:

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Classe(s) enrolling in:

Class Times: 9 10 11 12 1 2 3 4 5 6 7 : 00 10 15 25 30 35 45 50 55

Class Times: 9 10 11 12 1 2 3 4 5 6 7 N/A : 00 10 15 25 30 35 45 50 55 N/A

How did you hear about us?

New Student:

If your child has any medical conditions, please describe them:

I understand that participation in gymnastics involves risk and possible injury. I understand and agreethat M&M Gymnastics and their staff will assume no responsibility for medical expenses incurred by my son or daughter as a result of injury at this facility. My child has no physical, mental, or emotional problems that would interfere with participation in this program. I also agree to incur charges for this session. Your email address will only be used as a form of contact. We do not rent or sell any email addresses. By submitting this application, you are acknowledging and accepting all the rules/information presented above. Please call the gym once you submit your registration to make your payment with MasterCard or Visa. You may also mail a check made out to "M&M Gymnastics" to 16760 W Victor Rd. New Berlin, WI 53151. However, a space will only be reserved with a $25 deposit.