Diamond Gymnastics Gym Party

Join us for an afternoon of fun with lots of jumping, bouncing, and climbing for children and young adults with autism at Diamond Gymnastics. This event is free for current POAC members and $20 per family for non members. Current members can email POAC at info@poac.net for a promo code to bypass the fee.

* Required information

Parent/Caregiver Information

* First Name:
* Last Name:
* Email Address:
* Confirm Email Address:
* Address 1:
Address 2:
* City:
* State:
* ZIP Code:
* Phone:
*
I authorize and give my full consent to POAC to copyright and/or publish any and all photographs, videotapes and/or film in which my family and I appear while at this event. I further agree that POAC may transfer, use or cause to be used, these photographs, videotapes, or films for any exhibitions, public displays, publications, commercials, art, advertising, and television programs without limitations or reservations.
- Yes
I, as the parent/guardian of all children listed on this registration agree to let my child(ren) participate in this activity. I understand that there are certain risks of injury inherent in recreational activities, as well as in other related activities incidental to my child’s participation in the above described activities. I agree that my child is suitable to participate in the POAC Event. In giving full consent for my child to participate in this activity, I do hereby waive, release, and hold harmless POAC and other related personnel for any injury that may be suffered by my child or myself in the normal course of participation in this event incidental thereto, whether the result of negligence or any other cause.
*
I agree to the above waiver.
- Yes
Promo Code

Enter Code: Apply

Fee

Type	Fee
Event fee	$20.00

Who is attending this event?

If you are not a current POAC member you do not need a promo code. Just leave this field blank.
* Please list the names and ages of each child with autism attending. Please register members of your family only.
* Please list the names and ages of any siblings attending. If no siblings are attending please type NA
* Total number of children attending:
* Total number of people attending including adults AND children:

Payment

Payment Method

Pay with Credit Card

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