USA Cheers - Mall of Georgia Gym Registration

registration

SUGAR HILL (Buford), GEORGIA | (678)541-2433
4729 Nelson Brogdon Blvd., Sugar Hill, GA

S u g a r H i l l G y m
R E G I S T R A T I O N P A G E

U S A Cheers

HOURS
Monday ~ Thursday
2:30 PM ~ 9:30 PM

Open Gym
Monday & Wednesday
7:00 PM ~ 8:00 PM

REGISTER FOR A SUGAR HILL CLASS

Student Information

Parent Information

Parent Email (required):

Mother's First Name:		Mother's Last Name:
Mother's Cell:

Father's First Name:		Father's Last Name:
Father's Cell:

Street Address:
City:		Zip Code:

Emergency Contact (if you can't be reached):
Emergency Contact Phone Number:

Put Check Here to Have Statements Emailed:

Class Information

Describe Current Skill Level:

Type of Class:

Please list two preferences for class time and date:
First Choice
Second Choice
Instructor preference?

How did you hear about us?

Please submit this information or return this form by regular mail or FAX to:

U.S.A. Cheers
64 Lenox Pointe
Atlanta, Georgia 30324
FAX 770-982-0877

Medical Release forms and payment are due FIRST DAY of class.

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