Tumbleweeds Gymnastics Online Registration

Registration

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Welcome to Tumbleweeds Gymnastics! Please complete the following registration form. In order to register and hold your spot, please submit payments per the schedule: **WE WILL NEVER CHARGE YOUR CREDIT CARD ON FILE. AFTER COMPLETING REGISTRATION AND SUBMITTING PAYMENT INFO, PLEASE LOG BACK INTO YOUR PORTAL TO SUBMIT ACTUAL PAYMENT. PAYMENTS ARE NOT SUBMITTED FROM THIS REGISTRATION FORM. THE TOTAL AMOUNT CAN BE CHANGED TO MEET THE PAYMENT SCHEDULE. (TAP IN BOX TO EDIT PAYMENT AMOUNT)***

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Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)

Contact #1

Contact #1 First Name*

Last Name *

Type

How Can We Contact You?

Home Phone

Work #

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Attire: leotard or form fitting athletic wear.

Reminder: No jewelry or buttons, hair is to be tied back, no shoes or socks when entering the gym. Water bottle and all belongings are to be stored in a cubby.

Enroll in Classes

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Attire: leotard or form fitting athletic wear.

Reminder: No jewelry or buttons, hair is to be tied back, no shoes or socks when entering the gym. Water bottle and all belongings are to be stored in a cubby.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Attire: leotard or form fitting athletic wear.

Reminder: No jewelry or buttons, hair is to be tied back, no shoes or socks when entering the gym. Water bottle and all belongings are to be stored in a cubby.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Attire: leotard or form fitting athletic wear.

Reminder: No jewelry or buttons, hair is to be tied back, no shoes or socks when entering the gym. Water bottle and all belongings are to be stored in a cubby.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Attire: leotard or form fitting athletic wear.

Reminder: No jewelry or buttons, hair is to be tied back, no shoes or socks when entering the gym. Water bottle and all belongings are to be stored in a cubby.

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

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Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

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Credit Card

Required Policies

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