Registration Form - Gymnastics Programs
Girls - Kindergarten through 12th grade
West Hollow Middle Shool
250 Old East Neck Road
Melville, N. Y. 11747

To complete the Registration Form below:
  • Print off this form by using the 'Print' icon on your browser.
  • Fill in the required information in each field.
  • Parent must sign and date the form.
  • Submit one (1) form per child registering.
  • You can register your child for more than one session using one form!
  • Make checks payable to: Half Hollow Hills Gymnastic Workshop
  • Mail completed and signed form and check for the total session fees to:
    • 558 So. 7th Street
    • Lindenhurst, New York 11757
  • We recommend your child bring a drink and a snack!
  • You must fill in, date and sign the Insurance Waiver form (below)!

- Schedules and Fees: -
Fall 2008: - 10 Classes = $300.00 per Session
  • Sept 13, 20, 27
  • Oct 4, 11, 18, 25
  • Nov 1, 8, 15
AM Session (9:00am-12:00noon) check here [___]
PM Session (1:00am-4:00pm) check here [___]
Winter 2009: - 7 Classes = $210.00 per Session
  • Jan 10, 17, 31
  • Feb 7
  • Mar 7, 14, 28
AM Session (9:00am-12:00noon) check here [___]
PM Session (1:00am-4:00pm) check here [___]
Spring 2009: - 5 Classes = $150.00 per Session
  • Apr 4, 25
  • May 2, 9, 16
AM Session (9:00am-12:00noon) check here [___]
PM Session (1:00am-4:00pm) check here [___]

The Registration Form:
I am fully aware and appreciate the risk of injury associated with participating in gymnastics. I agree that the Half Hollow Hills Gymnastic Workshop Inc., Half Hollow Hills Central School District employees, officers, and directors shall not be liable for any injury or related medical expenses as a result of my child's participation in gymnastics.

Parent's Signature: ____________________________________________    Date: _________________
We have limited enrollment - You will be notified ONLY if the program desired is full.










The Athlete Participation Agreement and Waiver Form:
Waiver Agreement



© Copyright 2006 - 2007 PLSWebServices.com
This WebSite created and maintained by: www.PLSWebServices.com
email: WebMaster@PLWebServices.com
Revised: 8/20/2008 5:15:41 PM