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*

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*

Cell #

Additional Info

T-Shirt Size

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Insurance Carrier*

Insurance ID Number*

Recreational Class Program Only (Not teams)

You must Choose Class Program Type first and then specific class

Class Program Type - Punch Card, Unlimited Monthly Classes or REC Cheer

Specific Classes Include Tumbling Classes or Cheerleading Skills Classes

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

After filling out the form and choosing Class Program Type and individual class you will be redirected to our new online Payment System

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

T-Shirt Size

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Insurance Carrier*

Insurance ID Number*

Recreational Class Program Only (Not teams)

You must Choose Class Program Type first and then specific class

Class Program Type - Punch Card, Unlimited Monthly Classes or REC Cheer

Specific Classes Include Tumbling Classes or Cheerleading Skills Classes

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

After filling out the form and choosing Class Program Type and individual class you will be redirected to our new online Payment System

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

T-Shirt Size

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Insurance Carrier*

Insurance ID Number*

Recreational Class Program Only (Not teams)

You must Choose Class Program Type first and then specific class

Class Program Type - Punch Card, Unlimited Monthly Classes or REC Cheer

Specific Classes Include Tumbling Classes or Cheerleading Skills Classes

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

After filling out the form and choosing Class Program Type and individual class you will be redirected to our new online Payment System

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

T-Shirt Size

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Insurance Carrier*

Insurance ID Number*

Recreational Class Program Only (Not teams)

You must Choose Class Program Type first and then specific class

Class Program Type - Punch Card, Unlimited Monthly Classes or REC Cheer

Specific Classes Include Tumbling Classes or Cheerleading Skills Classes

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

After filling out the form and choosing Class Program Type and individual class you will be redirected to our new online Payment System

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

T-Shirt Size

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Insurance Carrier*

Insurance ID Number*

Recreational Class Program Only (Not teams)

You must Choose Class Program Type first and then specific class

Class Program Type - Punch Card, Unlimited Monthly Classes or REC Cheer

Specific Classes Include Tumbling Classes or Cheerleading Skills Classes

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

After filling out the form and choosing Class Program Type and individual class you will be redirected to our new online Payment System

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

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

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

Required Policies

(Show-Hide Details)