Tumbling – Utah Velocity Cheer

Fill the following form to get registered for 1x per Week Tumbling Classes

Select Day of Week*

Monday

Wednesday

Preferred Class Time*

5:30 - 6:30

6:30 -7:30

First Name*

Last Name

Gender*

Girl

Boy

Date of Birth*

School*

Home Address*

City*

State*

Zip Code*

Parent or Guardian First Name*

Parent or Guardian Last Name*

Primary Phone*

Email*

Emergency Contact Name and Phone Number*

Please list any Medical Restrictions and/or allergies to Medicine*

Please explain your child's level of experience in tumbling*

How did you hear about us?*

Did anyone refer you?*

Tumbling*

*Your card will not be charged until the next step, no card details have been entered. Price $45 Includes $2.14 processing fee

Total $ 47.14

Credit/Debit Card