AIM USA Youth Programs
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Online Registration Form
Cheer & Dance Registration
** Online registration must be completed
at least 24 hours prior
to the start of the class.
If you plan to register on the start date, please do so at class to ensure that your registration is processed. **
Do
not
complete this form if you are not ready to submit your registration payment. You are not registered if payment is not received.
Please note: AIM registration fee is non-refundable.
*
Indicates required field
Student Name
*
First
Last
Student Age
*
Select Age
4
5
6
7
8
9
10
11
12
13
14
15
16+
Level
*
Select Level
PeeWee
JV
Varsity
Gender
*
Male
Female
T-shirt Size (fitted)
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Skirt / Pant Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Class Location
*
Albemarle / Charlottesville
Chesterfield -Beulah
Chesterfield -Clover Hill
Chesterfield -Old Hundred
Chesterfield -Providence
Chesterfield -Watkins
Chesterfield -Wells
Henrico
Class Day
*
Select One
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Parent Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone Number
*
School Student Attends
*
Allergies or Medical Conditions to be Aware of
*
ATHLETES IN MOTION EAST COAST LLC, AIM USA INC. LIABILITY RELEASE:
By providing my electronic signature below, I, the parent or guardian of the student listed above, do hereby agree to release all liability and claims, against ATHLETES IN MOTION EAST COAST LLC, AIM USA INC, and agree to hold harmless any liability against ATHLETES IN MOTION EAST COAST LLC, AIM USA INC, any sponsoring organization, facility, instructor, and any other party involved, due to any injuries, accidents, negligence, or any other circumstance arising from participation in any ATHLETES IN MOTION EAST COAST LLC, AIM USA INC program / activity with respect to any time prior, during and after class.
Parent Electronic Signature
*
Please
DO NOT
click the button below if you are not prepared to submit payment on the next screen.
Clicking this button without completing the payment portion on the next screen will
not
register your child for the program.
Continue to Payment Info