Gym Rompers Registration Form

Winter/Spring 2012

(Please print this page to register your child - make sure you click on this section of the Website, and that your printer is set to only print this frame, which is a standard printer setting.)

Please check which Gym Rompers facility you are registering for:

Metairie _____     Uptown _____
Childs Name: Home Phone:
Parents Name: Work Phone:
Address: Cell Phone:
City, State, Zip: Email:
Child's Birthday:  
How did you hear about Gym Rompers?

 
I understand that Gym Rompers is a parent/child play program and that I am responsible for my child's safety while attending the program.

Signature: ____________________________________________________

Please include your check, payable to "Gym Rompers," with this registration form.  Refunds are available only prior to the first class.

Registration information should be mailed to:

Gym Rompers - 325 Ridgeway Drive, Metairie, Louisiana 70001
Total fee enclosed: $_________________