DIAMOND REGISTRATION                                                
                                           
DB____________ZIP__________TB                   RF_____________QB__________                                                
                  ALL FEES ARE NON-REFUNDABLE  
                                          
DATE____/____/____                                                

Mom's Name_____________________________________  Cell #                                                 

Dad's Name____________________________________ Cell#                                               
Address_________________________City/State_________Zip___________________                                          
      
Home Number                                                

EMERGENCY #_____________________NAME_____________________ (3rd party please)                                                
         
                               
CHILD # 1                                                
                                           
FIRST NAME:___________________________________                                DOB___/___/____                
LAST  NAME:___________________________________                                                
                                           
                                            
Class                                            #                                 Day            Time                Fee                         
Class                                            #                                 Day            Time                Fee                        
Class                                            #                                 Day            Time                Fee                        
                                                                                                           Mult Class Disc                        
                                                                                                         Registration Fee        25                
                                                                                                                        TOTAL                        
                                           


CHILD # 2                                                
                                           
FIRST NAME:___________________________________                                DOB___/___/____                
LAST  NAME:___________________________________                                                
                                           
                                            
Class                                            #                                 Day            Time                Fee                         
Class                                            #                                 Day            Time                Fee                        
Class                                            #                                 Day            Time                Fee                        
                                                                                                           Mult Class Disc                        
                                                                                                         Registration Fee        35                
                                                                                                                        TOTAL                       


CHILD # 3                                                
                                           
FIRST NAME:___________________________________                                DOB___/___/____                
LAST  NAME:___________________________________                                                
                                           
                                            
Class                                            #                                 Day            Time                Fee                         
Class                                            #                                 Day            Time                Fee                        
Class                                            #                                 Day            Time                Fee                        
                                                                                                           Mult Class Disc                        
                                                                                                         Registration Fee        35                
                                                                                                                        TOTAL                      
                                           
                                           
INITIAL EACH LINE                                                
   

I have received the Diamond Policies & Procedures                                          
                                           
   I have read, understand and have signed the Diamond                                     
   Release & Waiver                                        
                                           
   I understand my fees / payment today is NON-REFUNDABLE                                             
   NO CREDITS WILL BE ISSUED                                        









                                         
                           OFFICE USE ONLY                

TOTAL DUE                                                

CASH           $                                        
CHECK         #                                        
CC               #                                        
    EXP        ____/____ V-CODE__________