Online Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Online Registration

Class registration for Stretch-N-Grow & ImpAct Youth Fitness Programs.

Email *

Parent(s) First and Last Name *

Mobile Phone Number(s) *

Billing Address

Child's Name *

Child's Name for 2nd child (20% discount)

Sex *

Male

Female

Sex (2nd child)

Male

Female

Clear selection

Age and DOB *

Age and DOB (2nd child)

Check Billing Option *

Monthly $45 (20% discount with autopay - $36)

Quarterly $125 (20% discount with autopay - $100.00)

Check for autopay. A form will be emailed to you.

Required

Shirt Size ($18 additional fee)

YXS

Check if there are two shirts of the same size.

School and Classroom(s) *

I understand that Stretch-N-Grow and ImpAct Youth Fitness are voluntary programs. I agree to pay prior to enrollment and to give a two weeks notice If I decide to stop the program. Monthly or quarterly payments are due by the 10th of the month or a $10 late fee will be applied. *

Yes, I agree

Other:

Required

Periodically pictures/videos are taken for promotional purposes only. Please check if you do not want pictures taken.

No pictures are to be taken.

Stretch-N-Grow of Greenville

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms