Tumbling 2 – Utah Velocity Cheer

Fill the following form to get registered for 2x per Week Tumbling Classes

First Name*

Last Name

Preferred Class Time*

5:30 - 6:30

6:30 -7:30

Gender*

Boy

Girl

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 someone refer you?*

Tumbling 2x per Week*

*Your card will not be charged until the next step, no card details have been entered. Price $70 Includes $3.04 processing fee

Total $ 73.04

Credit/Debit Card