Register

Though we do not accept credit cards for payment your registration process can begin online: We will process your request and contact you via phone or e-mail confirming availability of your class choice, after which we will request your check for payment.

Child's Name
Address
Address 2/ Apt. #
City
State
Zip Code
DOB & Age
School

Parents' Names
Phone/Home
Cell/Work
E-mail Address
Caregiver's Name
Caregiver's Contact
Class Choice
Class Choice 2
View Class Schedule

How did you hear about us?

Medical information: Please indicate in the box below whether your child has any

Physical handicaps: Bones, joints, muscles, etc.
Chronic ailments: Asthma, other respiratory problems, allergies, diabetes, hypoglycemia, epilepsy, hemophilia or other blood related problems.
Psychological conditions: Fears, anxieties, hyperactivity which are of special note.
None of the above.

Physician to Contact in an Emergency
Physician's Phone
Additional Person to Contact in an Emergency
Additional Person's Phone
I give permission for Children's Tumbling to secure any necessary medical attention for my child.

Your Full Name (e-signature)