Betty Okino Clinic - Athlete Registration Form

Betty Okino Artistry Athlete Clinic
This is an Expression of Interest form.

Your childs place in the workshop is not confirmed until you recieve a confirmation email from the club.

When: Sunday 10th November 2024

Where: Twistarz Gymnastics Academy

Enrollment Fees: $190 per Athlete
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Gymnastics Club*
Gymnasts ALP Level
Emergency Contact Information
Contact Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Relationship*
Should be Empty: