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REGISTRATION FORM
Welcome to Lift Up! Tumbling And Nutrition. Home of the L.U.T.A.N Allstars  {9402 Uptown Dr, 1600-1700, Indpls 46256}

LIFT UP TUMBLING AND NUTRITION, LLC

P.O Box 26331

Indianapolis, IN 46226

317-801-4596                                                 

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L.U.T.A.N DROP POLICY
- 30 DAY DROP NOTICE REQUIRED AND TURNED INTO FRONT DESK (MANAGEMENT) 
- If we do not have a signed drop form on file your child is reserving a spot in class and is therefore you are required to pay for it.
- If you inform someone other than management you are dropping, you will be charged until the front desk is notified in writing.
- Credits will NOT be given.
-There are no make up classes unless L.U.T.A.N has to close for inclement weather or for any reason out of the company's control.
- Temporary drop notices can freeze your account if an injury occurs. L.U.T.A.N Management will need documentation from a doctor’s office stating that your child is not allowed to participate.  
Student's Name *
Mother's Name *
Mother's Number *
Father's Name *
Father's Number *

1. Agreement to Participate
Do you agree to allow your child/self to participate in cheerleading, tumbling, nutritional coaching, and personal training activities provided by Lift Up Tumbling & Nutrition?

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2. Assumption of Risk
Do you understand and accept that participation in physical activities may involve risks such as injury?

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3. Liability Waiver
Do you agree to release Lift Up Tumbling & Nutrition, its owners, staff, and affiliates from any liability for injuries or accidents that may occur during participation in its programs?

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4. Emergency Contact Information
Name: ____________________________
Relationship: ____________________________
Phone Number: ____________________________

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5. Media Consent
Do you consent to Lift Up Tumbling & Nutrition using photos or videos of your child/self for promotional purposes?

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6. Tuition Agreement
Do you acknowledge and agree to the tuition payment terms outlined by Lift Up Tumbling & Nutrition?

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What is the parent/guardian's email address? *
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