Adaptive Application

We’re so excited to welcome you to our gym! 🎉

Before we get started, we’d love to learn a little more about your child so we can recommend the classes that will be the best fit.

Please complete all the questions below to help us find the perfect class placement. Once submitted, our office will reach out to answer any questions, help get find the perfect class for you.

Guardian's First Name:

Guardian's Last Name:

Student First/Last Name:

We have a variety of ways for your child to participate in our program. Please let us know what your interests are:

1/2 hour one-on-one

1/2 hour open play

Group classes

Availability: What class days/times that work for you?

Please tell us about your child. What are your child’s specific needs, super powers and challenges?

How does your child best communicate their needs or discomfort during activities?

Are there any specific behavioral or emotional needs / concerns that we should be aware of during class?

Are there any medical or safety considerations that need to be known? **Please make sure to add all medical information on your family/student account when you register online**

Are there any physical limitations that we need to be aware of?

Are there any physical activities your child should not participate in?

Is your child currently participating in any other physical activities or sports? If Yes what sports or activities?

Does your child tend to evade?

Yes

Not Sure

Does your child show aggression?

Yes

Sometimes

Does your child have any common triggers? What may they be?

Why do you feel gymnastics / ninjas might benefit your child?

Who should the gym call in case of an emergency? Please list name/relationship/contact information:

Are there any particular ways your child prefers to receive information or instructions?

My child tends to be a:

Sensory Seeker

Sensory Avoider

Both

Unknown

My child tends to enjoy:

Are there certain sensory tools that help your child regulate and focus when receiving instruction?

Are there any specific goals or skills your child aims to achieve in adaptive gymnastics/ninja class this year?

Is there any other information you would like us to know about your child?

Are you in need of tuition assistance?

Yes

Other

How did you find out about us?

Thank you for your interest in our facility!

We are looking forward to working with you and your family!

If you have not yet enrolled in an adaptive class, the next step would be to create an account on our website. That is where you'll accept policies and waivers. Also be sure to add in medical information on your account. Feel free to reach with any questions that may come up!

Auburn Gymnastics Center

290 Palm Ave

Auburn, CA 95603

530-823-2031

We’re so excited to welcome you to our gym! 🎉

Before we get started, we’d love to learn a little more about your child so we can recommend the classes that will be the best fit.

Please complete all the questions below to help us find the perfect class placement. Once submitted, our office will reach out to answer any questions, help get find the perfect class for you.

Guardian's First Name:

Guardian's Last Name:

Student First/Last Name:

We have a variety of ways for your child to participate in our program. Please let us know what your interests are:

1/2 hour one-on-one

1/2 hour open play

Group classes

Availability: What class days/times that work for you?

Please tell us about your child. What are your child’s specific needs, super powers and challenges?

How does your child best communicate their needs or discomfort during activities?

Are there any specific behavioral or emotional needs / concerns that we should be aware of during class?

Are there any medical or safety considerations that need to be known? **Please make sure to add all medical information on your family/student account when you register online**

Are there any physical limitations that we need to be aware of?

Are there any physical activities your child should not participate in?

Is your child currently participating in any other physical activities or sports? If Yes what sports or activities?

Does your child tend to evade?

Yes

Not Sure

Does your child show aggression?

Yes

Sometimes

Does your child have any common triggers? What may they be?

Why do you feel gymnastics / ninjas might benefit your child?

Who should the gym call in case of an emergency? Please list name/relationship/contact information:

Are there any particular ways your child prefers to receive information or instructions?

My child tends to be a:

Sensory Seeker

Sensory Avoider

Both

Unknown

My child tends to enjoy:

Are there certain sensory tools that help your child regulate and focus when receiving instruction?

Are there any specific goals or skills your child aims to achieve in adaptive gymnastics/ninja class this year?

Is there any other information you would like us to know about your child?

Are you in need of tuition assistance?

Yes

Other

How did you find out about us?

Thank you for your interest in our facility!

We are looking forward to working with you and your family!

Auburn Gymnastics Center

290 Palm Ave

Auburn, CA 95603

530-823-2031

Welcome to AGC!

Thank you for your interest in our facility!

Welcome to AGC!

Thank you for your interest in our facility!