Extreme Cheer & Tumble Registration Form
Please fill out the entirety of this registration form as best as you can! If you have any questions regarding this form, please do not hesitate to contact us at (254) 780 - 0087! This registration form is valid for both Extreme locations.
Email address *
Which Extreme Location are you interested in? *
Required
Student #1 Full Name & Date of Birth: (Ex: John Doe 01/02/3456) *
Your answer
Student #2 Full Name & Date of Birth:
Your answer
Student #3 Full Name & Date of Birth:
Your answer
Parent's Full Name: *
Your answer
Cell Phone Number: *
Your answer
Work Phone Number:
Your answer
Home Phone Number:
Your answer
Email Address: *
Your answer
Home Address: *
Your answer
City, State, Zip: *
Your answer
Please List Any Allergies AND/OR Conditions Any of Your Children May Have: (if none, please put "None".) *
Your answer
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