AUCC Youth Class (Spring)

AUCC Youth Class Form

Fill out the form carefully
AUCC in partnership with

Tumble to You

Wednesdays & Fridays

3:30PM

45 min classes

Limited Spots Available

7 Week Gymnastics Program

April 16 - May 30

Ages 6 - 14

$30 per class

$140 - Once a Week

$250 - Twice a Week

JOIN AUCC💪🏽

55 HILLSIDE AVE
TEANECK NJ
Child Name*

First NameLast Name
Child Birth Date*

MonthDayYear
Parent Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Mobile Number*
Referral
Name of person who referred you
I attest that the above information is correct. I attested that I and additional members of household are in good health and in the event of a medical emergency, I authorize AUCC to seek emergency medical care as deemed necessary by director. I attest that I will be photographed and/or recorded while at AUCC, which may be displayed via internet, newsletter, or advertisement. By signing this form, I hereby acknowledge and understand that AUCC as well as all other associated amenities such as Ray of Sunshine Foundation, staff, volunteers, affiliates, and board members, will not be held accountable in the case of illness, injury, death, and damage to personal property sustained to myself or any minors included on this form, while on the premise, located 55 Hillside Avenue, Teaneck, NJ.
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AUCC Classes*

Gymnastics ClassPer Class

$30.00

Gymnastics ProgramOnce a Week

$140.00

Gymnastics Program Twice a Week

$250.00

Enter coupon

Total

$0.00

AUCC Youth Class Form