AZ Dynasty Cheer and Dance LLC Online Registration

Student #1

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Grade Level*

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Special Needs (Leave blank if NONE)

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Medications (Leave blank if NONE)

Primary Doctor*

SAFETY: All students are required to wear mask, appropriate attire to each practice. Please wear comfortable shorts or yoga pants or yoga shorts, no loose shirts, hair to be up in a pony tail or away from your eyes for safety. No jewelry is allowed to be worn during practices, exhibitions, or competitions. Tumbling Gymnastics Classes and dance: Leotard or unitard ~ GIRLS Singlet, pr shorts, tank or tight fitting tshirt ~ BOYS Recreational Cheer Classes: tshirt, shorts, and gym shoes

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor*

SAFETY: All students are required to wear mask, appropriate attire to each practice. Please wear comfortable shorts or yoga pants or yoga shorts, no loose shirts, hair to be up in a pony tail or away from your eyes for safety. No jewelry is allowed to be worn during practices, exhibitions, or competitions. Tumbling Gymnastics Classes and dance: Leotard or unitard ~ GIRLS Singlet, pr shorts, tank or tight fitting tshirt ~ BOYS Recreational Cheer Classes: tshirt, shorts, and gym shoes

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor*

SAFETY: All students are required to wear mask, appropriate attire to each practice. Please wear comfortable shorts or yoga pants or yoga shorts, no loose shirts, hair to be up in a pony tail or away from your eyes for safety. No jewelry is allowed to be worn during practices, exhibitions, or competitions. Tumbling Gymnastics Classes and dance: Leotard or unitard ~ GIRLS Singlet, pr shorts, tank or tight fitting tshirt ~ BOYS Recreational Cheer Classes: tshirt, shorts, and gym shoes

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor*

SAFETY: All students are required to wear mask, appropriate attire to each practice. Please wear comfortable shorts or yoga pants or yoga shorts, no loose shirts, hair to be up in a pony tail or away from your eyes for safety. No jewelry is allowed to be worn during practices, exhibitions, or competitions. Tumbling Gymnastics Classes and dance: Leotard or unitard ~ GIRLS Singlet, pr shorts, tank or tight fitting tshirt ~ BOYS Recreational Cheer Classes: tshirt, shorts, and gym shoes

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor*

SAFETY: All students are required to wear mask, appropriate attire to each practice. Please wear comfortable shorts or yoga pants or yoga shorts, no loose shirts, hair to be up in a pony tail or away from your eyes for safety. No jewelry is allowed to be worn during practices, exhibitions, or competitions. Tumbling Gymnastics Classes and dance: Leotard or unitard ~ GIRLS Singlet, pr shorts, tank or tight fitting tshirt ~ BOYS Recreational Cheer Classes: tshirt, shorts, and gym shoes

Enroll in Classes

Select Class *

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Where do you live?

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Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Who is your employer?

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How can we contact you?

Who is your employer?

Student #1

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