Enrollment Form:

CONOCOPHILLIPS GYMNASTICS CLUB

ENROLLMENT FORM

Mother’s name                                                                                       

Father’s name                                                           

Mother’s work phone                                                                              

Father’s work phone                                                                               

 Address                                                                                                                   

City                                                            State & Zip ___________________  

Home phone                                                                

Cell Phone #                                                                  

Email Address                                           

Recreation Card # _____________________ (or ConocoPhillips employee number)

 * Registration Fee   $______________ * Monthly Tuition $________________

 *Registration fee is non-refundable and must be paid at time of enrollment. Tuition is due at the beginning of the month and considered late after the 15th.  There is a $5.00 late fee per child if paid after the 15th.  Office hours 12:00p.m. to 8:00p.m.

                          PLEASE MAIL OR BRING ENROLLMENT FORM TO :

 CONOCOPHILLIPS GYMNASTICS CLUB

1805 S.W. ADAMS BLVD.

BARTLESVILLE, OK  74004

 661-8061