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: June 3rd-8th: 1/2 of tuition due + $35 Annual Registration fee (if due) June 24th-July1st: Final Payment (Any remaining balance is due) **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**

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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.

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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

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Comments

Payment Information

Credit Card

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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)

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Student #3 (Show-Hide Details)

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Student #4 (Show-Hide Details)

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Student #5 (Show-Hide Details)

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