Registration


Welcome to Boundless Movement Academy!

Please complete the following registration form to become a member and eligible to enroll in classes through our Parent Portal. Please note that an annual membership fee of $30 for 1 child or a family membership of $50 will charged to your account upon completion of your registration. Payment is typically processed within 24 hours.

A class list can be viewed at our website.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Who is your employer?
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
(format=mm/dd/yyyy)
Additional Info
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Please fill out ONE of the following Payment Methods
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)