Afterschool Program Registration
Register your child for the Phoenix Gymnastics Training Center's Afterschool Program.
Participant Name
*
First Name
Last Name
Participant Birthdate
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Grade
*
School
*
Please Select
Cash Elementary
Kernersville Elementary
North Carolina Leadership Academy
Piney Grove Elementary
Smith Farm Elementary
Sedge Garden Elementary
Union Cross Elementary
Other
Parent Name
*
First Name
Last Name
Is your child on team?
*
Yes
No
Parent Email
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Information
Register
Should be Empty: