STUDENT REGISTRATION

Victory Rhythmic Gymnastics Student Registration
2025/2026

Please fill out the form below to register for classes
and become part of our team.

Student name

Date of birth

Current grade

Name of school

Address

How did you find us?

Allergies and medical info

Parent (Guardian) name #1

Email

Phone

Parent (Guardian) name #2

Email

Phone

Emergency information

(If we cannot reach the parent/legal guardian above number in an emergency, we will contact the people below in order of appearance)

Relationship

Phone

Pick up information

(If anyone rather than parent/legal guardian will pick up children above, please list the names of people authorized to do so)

Relationship

Phone

Additional pick-up contact

Relationship

Phone

You agree to our Terms and Conditions

burdov.sports@gmail.com

burdov.sports@gmail.com