shen's gymnastics academy                                           holliston,ma    508.429.9898

Registration Form

16 Everett Street

Holliston, MA  01746

 Call for prices, then complete this form and send in with payment.

Last Name:____________________________________

Address:________________________________________

City:______________     Zip:____________

Mom:__________________ Dad:_____________     

Home phone:________________ Cell/Daytime phone:______________________

Email:_____________________________________

Tuition:                                                   

Registration Fee:

(New Students Only)    $35/child or $60/family               

Total Enclosed:                                           

Credit Card Info:                                                VISA    MC    DISCOVER   AMEX                      

(Circle One)

Card #: ____________________________     Exp:       /   _  

Card Holder:      ________________________