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.
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Email *
Which Extreme Location are you interested in? *
Student #1 Full Name & Date of Birth: (Ex: John Doe 01/02/3456) *
Student #2 Full Name & Date of Birth:
Student #3 Full Name & Date of Birth:
Parent's Full Name: *
Cell Phone Number: *
Work Phone Number:
Home Phone Number:
Email Address: *
Home Address: *
City, State, Zip: *
Please List Any Allergies AND/OR Conditions Any of Your Children May Have: (if none, please put "None".) *
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