My Gym Layton Summer Prep 2024 Enrollment Form
Welcome to the My Gym Summer Prep program! Whether your child is getting an early start or continuing their education through the summer, we're excited to help them learn and stay happy, active, social, and healthy. Our program features a hands-on approach to academics, using My Gym's award-winning curriculum developed over 40 years. We've also left some room for summer fun with a slightly more relaxed structure. Everything we do promotes confidence, social and independent skills, cognitive and motor development, and school readiness. Once you submit the enrollment form, you must pay the $35 non-refundable registration fee to secure your child's spot. This program runs from June 3 to August 9, 2024. All Practice & Play's are included with enrollment. Registration is on a first-come, first-serve basis and books out quickly. Call or text us with questions at (801)614-0123 or laytonstaff@mygym.com.
Student Information
Student's full name as you want used at school:
*
(i.e. Robert, Bob, etc.)
Student's DOB:
*
Monday, day, year
Please list any medical conditions, allergies, sensory issues, etc. we should be aware of:
Briefly describe your child:
*
Guardian Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Other individuals authorized to pickup and contact in case of emergency for your child:
(Name, phone number and relationship)
Summer Prep (2 1/2 - 5 years old)
Pricing every 4 weeks: 1 Day: $130 // 2 Day: $180 // 3 Days: $230 // 4 Days: $280 // 5 Days: $325
Select days you would like to enroll in. (If class is FULL you will be added to the waitlist, not enrolled in the class.)
*
Monday >> 9:00 AM - 11:00 AM
(1 spot left!) Tuesday >> 9:00 AM - 11:00 AM
Wednesday >> 9:00 AM - 11:00 AM
Thursday >> 9:00 AM - 11:00 AM
Friday >> 9:00 AM - 11:00 AM
Enrollment Agreement: I would like to enroll my child at My Gym for 2024 Summer Prep. I am financially responsible for this child and agree to all of the terms and conditions contained in this Enrollment Agreement. I agree to the non-refundable Registration Fee ($35) that will be applied to supplies and request to be enrolled in the program(s) selected above:
/s/ electronic signature
I understand that I will need to sign the My Gym liability waiver online or in person prior to my child's first day of class if it is not already on file.
*
Please Select
Yes
No
How do you want to pay the registration fee? (If you selected to be on the waitlist, the registration fee will be due when spots become available.)
*
Please charge my card on file
Venmo @mygym_layton
Submit
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