EmailMe Form - Trimester 2 Registration Galloway

Trimester 2 Registration Galloway

Note: This form is for students who did NOT already participate in trimester 1. If you already participated in trimester 1, please
fill out the current student form.

It's time for the COMPETITION TRIMESTER! In addition to Monday night classes in the Sojourn Campus location, we will also be holding a special competition on Saturday, February 26 at the Sojourn Campus.

IMPORTANT: Before filling out the form below, please CLICK HERE to read all details on the competition.

Before registering, did you get a chance to read all the details? :-) *
I have read and understand the details
Parent Name *
First Last
Parent Phone Number *
### - ### - ####
Your city *
Parent Email *
Student Name *
First Last
Student height *
Student weight
Optional, but helpful!
Date of Birth *
MM / DD / YYYY
Student age as of January 3, 2022: *
How will you be paying for this child? *
.• If you choose monthly autopay: The Business Manager will contact you via email soon to arrange set-up. It will be 6 payments for both trimesters.
• If you choose online: You will be taken to a payment page upon submission of this form.

Payments must be arranged PRIOR to the first class.
If other, please specify *
Will you also be registering any siblings? *
1 / 5