Registration

Fields marked (*) are required

Name of Participant:*
Age:*
Gender:*
Name of Parent/Guardian:*
Address:*
Phone Number:*
Cell:*
Email:*
Emergency Contact 1:*
Phone:*
Relation:*
Emergency Contact 2:*
Phone:*
Relation:*
Check the classes you would like to participate in (classes are held on Tuesday or Thursday):
Tiny Tumblers (parent & tot 18mo-3yrs) : $20/month
BittyBop Tumblers (4-8yrs) : $35/month
Moxie Tumblers (9yrs-18yrs) : $35/month
Dragon Tumblers (4yrs-18yrs) : $35/month
TumbleToes Ballet (4yrs-8yrs) : $20/month
BittyBop Cheer (4-8yrs) : $35/month
Velocity Cheer (9-18yrs) : $35/month
Velocity Tumblers (8-18yrs) : $35/month
Does the participant have health insurance?*
Does the participant have physical conditions/restrictions (please list)?*

After completing registration we’ll call or email you to confirm participation. Payment can be made at the first class attended.

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