Champion Cheer and Tumble Center, LLC Online Registration

Registration

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Welcome to Champion Cheer and Tumble Center, LLC online registration!
Please provide your information below, select class, and press SUBMIT REGISTRATION INFORMATION.
Tuition & Registration must be made at your child's first class. There is no refunds or make ups for missed classes. Enrollment after starting date will be prorated!

* denotes required fields

Parent/Guardian Information

Parent/Guardian Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Information*

Contact #1

Contact #1 First Name*

Last Name *

Relationship to Child*

How Can We Contact You?

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Primary Doctor*

Name of Insurance Company

Policy Number

Name of Subscriber

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Another Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Primary Doctor*

Name of Insurance Company

Policy Number

Name of Subscriber

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Primary Doctor*

Name of Insurance Company

Policy Number

Name of Subscriber

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Primary Doctor*

Name of Insurance Company

Policy Number

Name of Subscriber

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Primary Doctor*

Name of Insurance Company

Policy Number

Name of Subscriber

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Registration

Parent/Guardian Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

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

Required Policies

(Show-Hide Details)