Flipping Out Tumbling Inc. Online Registration

Registration

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Welcome to Flipping Out Tumbling Inc.! Please complete the following registration form.

* 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*

Contact #1

Contact #1 First Name*

Last Name *

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

Student #1

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

T-Shirt Size

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

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

T-Shirt Size

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* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

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* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

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* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

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

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Photo-Release

I give Flipping Out Tumbling Inc. permission to record my child's likeliness on video, audio, or photo, and use my name and any other biographical information that connects to such recordings for the sole purpose of Flipping Out Tumbling Inc., and any promotional material posted on social media platforms.

I've read the above and agree.

Assumption of Risk

I am not aware of any injury, illness, or health related issues that would restrict or limit my child's ability to participate in any activities provided by Flipping Out Tumbling Inc.

I agree to assume all risks and expenses due to an injury that may occur as a result of my child's involvement in the any activities provided by Flipping Out Tumbling Inc.

I've read the above and agree.

Release of Liability

I agree to hold the Flipping Out Tumbling Inc. employee(s) or anyone acting on its behalf either as a coach, coach assistant, or administrator harmless in the event of an injury to my child while participating under the supervision above.

I've read the above and agree.

Payment Policy

I am aware that I will be responsible for paying a yearly $35 registration fee that will cover insurance fees for my child's participation.

I am aware that I will be charged on the first of the month if I am locked into an all access pass, and that if I choose to remove my child from the all access pass that I have to give notice by email at flippingoutproductions@gmail.com by the last day of the previous month or I will be charged.

I am aware that if I am signed up for a reoccurring private lesson and need to cancel I will have to pay a cancellation fee of $20 for hour lessons and $10 for half hour lessons and if I do not give 24 hours notice for any cancellation for private lessons at Flipping Out Tumbling Inc. that my money will not be refunded and/or I will be responsible for paying a cancellation fee equal to the cost of the the private lesson.

I am aware that any online registration for classes or events provided by Flipping Out Tumbling Inc. can not be refunded.

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*