Inspired Kids Programs Online Registration

Registration

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Welcome to the Inspired Kids Programs family - Home of Crouching Tigers, Tumbling Tigers, and Techie Kids Club Midwest!

Students enrolling in our programs will receive a Welcome Package mailed directly to their home. Tuition is generally billed monthly and a $35 registration fee is charged upon enrollment.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Child's Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info*

Promotion Code

Contact #1

Primary Contact First Name*

Last Name *

Relationship to Child*

How Can We Contact You?

Home Phone *

Work #

Cell #

By providing your phone number and checking this box, you agree to receive transactional and informational SMS messages from Inspired Kids Programs. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out and HELP for help.

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Relationship to Child

How can we contact you?

Home Phone

T-Shirt Size*

Classroom/Teacher of Child*

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Please fill out ONE of the following Payment Methods

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

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

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)

Contact #2

How can we contact you?

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

Enroll in Classes

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

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)