Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
Address: *
City: * State: * Zip: *
Emergency Contact(s) Name / Phone
Students entered below will be added to your family's account
Previous Cheerleading Experience - List years and gym name
Current Tumbling Skills without a spot (list here)
Current Tumbling skills WITH a spot (list here)
Additional Information:
Registration Agreement
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I've read the above and agree.
Enter your Full Name: *   
Other Questions/Comments: