Studio R Acrobatics and Tumbling, LLC Online Registration

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Welcome to Studio R Acrobatics and Tumbling, LLC! Please complete the following registration form.

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Referral Information

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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

Work #

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

School

Transportation

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

T-Shirt Size*

Please click on the Search button below, then choose the class. Choose the monthly class. At Studio R Acrobatics and Tumbling, we run on a month to month schedule and believe acrobatics and tumbling should be something that enhances your life. We aim to provide a fun and active environment for you and/or student.

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

School

Transportation

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

T-Shirt Size*

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

Transportation

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

T-Shirt Size*

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

Transportation

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

T-Shirt Size*

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

Transportation

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

T-Shirt Size*

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Payment Information

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Exp Month

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Address Line 1

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eCheck/Bank Draft

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Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

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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

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Student #4 (Show-Hide Details)

Additional Info

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Student #5 (Show-Hide Details)

Additional Info

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Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies

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