ReVolt Cheer & Tumble Online Registration

Registration

Already a customer? Click here to login.

Welcome to ReVolt Cheer & Tumble! We are so excited to welcome you into our ReVolt family! We offer competitive and recreational classes and teams to help advance our athletes in the sport of cheerleading 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

Emergency Contact Info (Not Contact #1 or #2)*

Health Insurance Carrier*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # *

Receive Text Message Notifications. By opting in, you agree to receive SMS messages from ReVolt Cheer & Tumble. Standard message and data rates apply. Reply STOP to opt out

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 # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from ReVolt Cheer & Tumble. Standard message and data rates apply. Reply STOP to opt out

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from ReVolt Cheer & Tumble. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Please click on the Select Class button below to enroll.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from ReVolt Cheer & Tumble. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Please click on the Select Class button below to enroll.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from ReVolt Cheer & Tumble. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Please click on the Select Class button below to enroll.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from ReVolt Cheer & Tumble. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Please click on the Select Class button below to enroll.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from ReVolt Cheer & Tumble. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Please click on the Select Class button below to enroll.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Please fill out ONE of the following Payment Methods

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

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

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

eCheck/Bank Draft

Required Policies

(Show-Hide Details)