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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
*
Utah
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?
*
Send
Payment Details
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
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