Jungle Gym Online Registration Form

 

Child's Name Child's Age

Program Name & School

Your Name (Parent/Guardian)

Mailing Address, Street

City Zip

Phone Email

Please include any relevant information about your
child such as eyesight, hearing, or medical issues:


Yes or No - I acknowledge my child will be
participating in the Jungle Gym Soccer Program
and pictures will be taken and can be uploaded
to Jungle Gym's social media account.

Send form to Jungle Gym ---

Register Here

 

Please fill out and submit our online form, or print our Registration Form here:
(Printable Form)

 

Jungle Gym has different programs for different locations. These programs may have different lengths and frequency of sessions, so prices may vary. Make your payment with PayPal:

 

Standard Program - 1 session per week -

4 Sessions $48.00 USD 8 Sessions $90.00 USD

---

 

For Sunshine State Academy Students only

Sunshine State Academy Program

8 Sessions $80.00 USD 16 Sessions $150.00 USD