Fall 2022 CAPTivate Registration
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Email *
For which program(s) are you registering? Check all that apply. (When waitlists get long enough, more spots may open up, so please DO join waitlists!) *
Required
Name *
Birthday *
MM
/
DD
/
YYYY
Gender *
Pronouns *
Phone number *
Your Residential Address *
Are you open to carpooling if other athletes live nearby?
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Emergency Contact Person *
Emergency Contact Person's Phone Number *
Do you have any medical conditions or injuries? *
Do you have any allergies? If so, what are you allergic to and do you carry an EPIpen? *
Do you take any medications that we should know about, especially in case of emergency? *
If you are less than 18 years old, please provide your parent / guardian's full name and email address.
What is your preferred T-shirt cut and size?
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Are you on Instagram? If so, what's your username? (This is so we can add you to your program's group chat. It is not mandatory.)
Are you an NCCP-certified gymnastics coach? *
Is there anything else your coaches should know in order to give you the best possible adult gymnastics experience?
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