Innovation Cheer & Tumbling Online Registration

Registration

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Welcome to Innovation Cheer and Tumbling! 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*

Additional Info

PAYMENT METHOD (CC,Check,Cash)

PROMO CODE

Contact #1

Parent Contact 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* (format=mm/dd/yyyy)

Cell #

Additional Info

T-Shirt Size

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)*

Insurance Carrier*

Insurance ID Number*

Please click on the SELECT CLASSES button to choose your Class Payment Option.

If you are doing a Trial Class Special choose the Trial Class Special payment option.

THE REGISTRATION FEE WILL NOT BE PROCESSED FOR THE TRIAL CLASS SPECIAL

If you are registering for an Allstar Team do not choose payment here. Go through the parent portal link you will receive after completing this form.

AFTER CHOOSING PAYMENT PACKAGE PLEASE GO INTO YOUR PARENT PORTAL TO ENROLL IN THE ACTUAL CLASSES

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Cell #

Additional Info

T-Shirt Size

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)*

Insurance Carrier*

Insurance ID Number*

Please click on the SELECT CLASSES button to choose your Class Payment Option.

If you are doing a Trial Class Special choose the Trial Class Special payment option.

THE REGISTRATION FEE WILL NOT BE PROCESSED FOR THE TRIAL CLASS SPECIAL

If you are registering for an Allstar Team do not choose payment here. Go through the parent portal link you will receive after completing this form.

AFTER CHOOSING PAYMENT PACKAGE PLEASE GO INTO YOUR PARENT PORTAL TO ENROLL IN THE ACTUAL CLASSES

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Cell #

Additional Info

T-Shirt Size

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)*

Insurance Carrier*

Insurance ID Number*

Please click on the SELECT CLASSES button to choose your Class Payment Option.

If you are doing a Trial Class Special choose the Trial Class Special payment option.

THE REGISTRATION FEE WILL NOT BE PROCESSED FOR THE TRIAL CLASS SPECIAL

If you are registering for an Allstar Team do not choose payment here. Go through the parent portal link you will receive after completing this form.

AFTER CHOOSING PAYMENT PACKAGE PLEASE GO INTO YOUR PARENT PORTAL TO ENROLL IN THE ACTUAL CLASSES

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Cell #

Additional Info

T-Shirt Size

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)*

Insurance Carrier*

Insurance ID Number*

Please click on the SELECT CLASSES button to choose your Class Payment Option.

If you are doing a Trial Class Special choose the Trial Class Special payment option.

THE REGISTRATION FEE WILL NOT BE PROCESSED FOR THE TRIAL CLASS SPECIAL

If you are registering for an Allstar Team do not choose payment here. Go through the parent portal link you will receive after completing this form.

AFTER CHOOSING PAYMENT PACKAGE PLEASE GO INTO YOUR PARENT PORTAL TO ENROLL IN THE ACTUAL CLASSES

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Cell #

Additional Info

T-Shirt Size

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)*

Insurance Carrier*

Insurance ID Number*

Please click on the SELECT CLASSES button to choose your Class Payment Option.

If you are doing a Trial Class Special choose the Trial Class Special payment option.

THE REGISTRATION FEE WILL NOT BE PROCESSED FOR THE TRIAL CLASS SPECIAL

If you are registering for an Allstar Team do not choose payment here. Go through the parent portal link you will receive after completing this form.

AFTER CHOOSING PAYMENT PACKAGE PLEASE GO INTO YOUR PARENT PORTAL TO ENROLL IN THE ACTUAL CLASSES

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

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

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

Credit Card

Required Policies

(Show-Hide Details)