Flip N Cheer Online Registration

Registration

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Welcome to Flip N Cheer! Please complete the following registration form. Note: If registering for a trial class, payment information is required for enrollment purposes only. No charge will be made for the trial class.

* 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*

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

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Cell # *

Email* (Emails are kept confidential)

Confirm Email*

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size

Grade Level

Health History

Allergies (leave blank if NONE)

Medications (Leave blank if NONE)

USAG Number

Use of Pictures Permitted? Y/N*

Please click on the Select Class button below, then choose the class.

Note: For trial class registrations, payment information is required to reserve your spot. You will not be charged for the trial class.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size

Grade Level

Health History

Allergies (leave blank if NONE)

Medications (Leave blank if NONE)

USAG Number

Use of Pictures Permitted? Y/N*

Please click on the Select Class button below, then choose the class.

Note: For trial class registrations, payment information is required to reserve your spot. You will not be charged for the trial class.

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

Grade Level

Health History

Allergies (leave blank if NONE)

Medications (Leave blank if NONE)

USAG Number

Use of Pictures Permitted? Y/N*

Please click on the Select Class button below, then choose the class.

Note: For trial class registrations, payment information is required to reserve your spot. You will not be charged for the trial class.

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

Grade Level

Health History

Allergies (leave blank if NONE)

Medications (Leave blank if NONE)

USAG Number

Use of Pictures Permitted? Y/N*

Please click on the Select Class button below, then choose the class.

Note: For trial class registrations, payment information is required to reserve your spot. You will not be charged for the trial class.

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

Grade Level

Health History

Allergies (leave blank if NONE)

Medications (Leave blank if NONE)

USAG Number

Use of Pictures Permitted? Y/N*

Please click on the Select Class button below, then choose the class.

Note: For trial class registrations, payment information is required to reserve your spot. You will not be charged for the trial class.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Please fill out CREDIT CARD Payment Method

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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)

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

Required Policies

(Show-Hide Details)