GYMTEX Registration Form
fill out this form and submit it.
Child's Last Name(required):
Age(required):
Male Female
Address(required):
City(required):
Zip(required):
Telephone (home)
Telephone (work)
Telephone (Cell)
Email(required):
Emergency Phone(required):
Doctor's Name:
Doctor's Phone:
Health Insurance Carrier:
Policy #:
Insurance Phone:
Time:
for the schedule, see here: class schedule
Check Cash Credit Card
Payment by Check:
Mail the check to 4502 Hwy 6, Suite. C, Sugarland, Texas 77478
Drop it off at the gym.
Payment by Cash:
Drop off the cash at the gym at 4502 Hwy 6, Suite. C, Sugarland, Texas 77478
Payment by Credit Card:
Please call Christina at (832) 876 - 9888 to give credit card information, or drop by the gym: 4502 Hwy 6, Suite. C, Sugarland, Texas 77478
By submitting this form, you agree to this Policy: