Open Gym Registration Form
Please fill out the athlete's and guardian's details and acknowledge the agreements.
Athlete’s first and last name
*
First Name
Last Name
Athlete’s age
*
Parent/guardian name
*
First Name
Last Name
Parent phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency contact name
*
First Name
Last Name
Emergency contact phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
List any allergies, injuries, or medical concerns
Are they a Rogue athlete?
*
Yes
No
I understand payment is due by Thursday at 8PM to hold my athlete’s spot.
*
I agree
I understand open gym is not a class and athletes work on skills at their own level.
*
I agree
I understand spots may be limited.
*
I agree
I, the parent/guardian of the athlete listed above, understand that participation in Rogue Athletics Open Gym involves physical activity and possible risk of injury. I voluntarily allow my child to participate and release Rogue Athletics, its coaches, staff, and facility from liability for injuries or accidents that may occur during participation. I confirm my child is physically able to participate and understand that athletes will work on skills at their own level.
*
I agree
My Products
*
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Open Gym
$10.00
$
10.00
Quantity
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10
Item subtotal:
$0.00
$
0.00
Date attending
*
-
Month
-
Day
Year
Date
Payment Methods
Choose from one of the PayPal options to
make your payment.
Submit Registration
Should be Empty: