Gymnastics By Ann -- Printable Registration Form>
   Print out this form and complete the information.  Mail the completed form along with your $20.00 annual registration fee to:
Gymnastics By Ann, 926 16th Street, Bedford, IN  47421

The registration fee includes one free GBA t-shirt!
Name__________________________________________________________ 

Address_________________________________________________________ 

City, State, Zip____________________________________________________ 

Age_______________________ 

1st Class (include day & time)_______________________________________________ 

Additional Class (day & time)_______________________________________________

Additional Class (day & time)_______________________________________________

Parents/Guardian___________________________________________________ 

Phone#___________________________ 

e-mail address____________________________________  

Total Class Fees/Amount Paid
$________________
Registration Fee
$20.00
Total Paid
$________________
Cash __________ Check # __________
MC/Visa # _________________________ exp. date __________

Contact us at:
Gymnastics By Ann, 926 16th Street, Bedford, IN  47421
(812) 275-2030 or (812) 276-9128
or by e-mail at:  luv2flip2001@yahoo.com

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Revised 6-15-02