class & tumbling registration

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Registration fee is $25

Athlete's Name

Athlete's Age

Athlete's Date of Birth

Athlete's T-Shirt Size

Athlete's Cellphone Number

Street Address

Street Address Line 2

City

State

Zip code

Email

Home Phone

Mother's Name

Father's Name

Cellphone Number

Mother's T-Shirt Size

Father's T-Shirt Size

How did you hear about us? *

Google/Yahoo

Facebook

Instagram

Returner

Referral

What's Up SCV

Other

If referred, who referred you?

Allergies/Notable Concern/s

What classes would you like to enroll your athlete? * Required

The Remedy Lab 8-week FUN-damental Classes

Tumbling Classes

Are you interested in becoming a Remedy Athletix Parent Volunteer? *

I would love to volunteer!

I'll sit this one out!

I wish to register my child with Remedy Athletix Program

Comments

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