CNY Storm Syracuse Online Registration

Registration

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We look forward to working with your child on their cheer and tumbling skills! Please read each class description, fee, and schedule, and complete this registration process to get enrolled. Classes are pay as you go, or you can opt to purchase the Monthly Class Pass, just $99 for unlimited classes! Gym Closings due to weather, etc. will be posted on all of our social media platforms and website at least 2 hours before classes. Request to follow our CNY Cheer Training FB group.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name*

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Additional Info

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

Health Insurance Carrier

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

Who is your employer?

Employer

Employer Phone

Employer Notes

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Disabilites

Allergies

Medications

Primary Doctor

Participants wear t-shirt/tank, shorts/leggings, sneakers, no jewelry, hair pulled up and bring a water bottle with them. There is a parent viewing area.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Disabilites

Allergies

Medications

Primary Doctor

Participants wear t-shirt/tank, shorts/leggings, sneakers, no jewelry, hair pulled up and bring a water bottle with them. There is a parent viewing area.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Disabilites

Allergies

Medications

Primary Doctor

Participants wear t-shirt/tank, shorts/leggings, sneakers, no jewelry, hair pulled up and bring a water bottle with them. There is a parent viewing area.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Disabilites

Allergies

Medications

Primary Doctor

Participants wear t-shirt/tank, shorts/leggings, sneakers, no jewelry, hair pulled up and bring a water bottle with them. There is a parent viewing area.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Disabilites

Allergies

Medications

Primary Doctor

Participants wear t-shirt/tank, shorts/leggings, sneakers, no jewelry, hair pulled up and bring a water bottle with them. There is a parent viewing area.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Agree

I hereby grant permission for my child to participate in a CNY Cheer Company summer camp, clinic, or class.
I grant permission to licensed hospital and/or health center staff members or EMT/paramedics on site, to administer immediate medical treatment as deemed necessary to my child should he/she be injured during the event. Further, I understand that I am responsible for payment of expenses incurred relating to my child's participation in the event and any medical treatment required.
I further release CNY Cheer Co., Inc and it's representatives from any claims for injury or illness that may be sustained as a result of their participation in this event. By signing this form I also grant permission for CNY Cheer Co., Inc. to use photos for future advertisements. I have read the above statement and agree in full to it's content.

Please visit our website www.cnystorm.com or stop at the front desk for a copy of our full policies agreement form.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

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*