Xtreme Kids
Fill out the form below, single-skill program, non-licensed by the state of Texas
Welcome!
Thank you for joining our Texas Xtreme Sports Family. Grades Pre-Kindergarten through 8th grade welcome. Morning and Afternoon classes available. Program starts at 6:00 am and pick-up by 6:30 pm.
Registration Fees
Annual Registration Fee - $50.00 (new) $25 (returning)
Tuition and Fees information
Each payment will be due on the Monday of that week. We will automatically draft your payment from the bank account you provide Cancellation must be done at least one week in advance. Any Payments that are returned due to failing to process will result in a $35 fee Tuition INCLUDES classes everyday.
Xtreme Kids Tuition - Morning ONLY
One Child - $80 Weekly Two Children - $150 Weekly Three Children - $220 Weekly
Xtreme Kids Tuition
One Child - $100 Weekly Two Children - $190 Weekly Three Children - $280 Weekly
Sign below to acknowledge our Tuition and Fees Information
Student's Name
First Name
Last Name
Student's Age
Child's Grade
Name of School Child Attends
Student's Date of Birth
MM/DD/YYYY
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Cell Phone Number
Mother's Name
First Name
Last Name
Mother's Email
example@example.com
Father's Name
First Name
Last Name
Father's Email
example@example.com
I give my consent for child to be placed on the HUFFMAN ISD school bus, to be transported to and from their school
I give consent
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Emergency Contact Information
Any person listed on this form will be allowed to pick up your child from Texas Xtreme Sports. These people will also be contacted in case of emergency if the parents can not be reached. If there is a need to add someone new please just reach out to us and let us know.
Emergency Contact #1
First Name
Last Name
Phone Number
Please enter a valid phone number.
Emergency Contact #2
First Name
Last Name
Phone Number
Please enter a valid phone number.
Signature
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Medical Information
In the case I am unable to be reached in the case of an emergency, I authorize the person in charge to take my child to the nearest medical emergency facility
Agree
Name of Physician
Physician's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Physician's Phone Number
Please enter a valid phone number.
My child's immunizations are up to date
Agree
Allergies
My child does not have any allergies
My child has allergies, please explain below
Please explain below if your child has any allergies and what the possible reactions could be.
Any other medical information you would like Texas Xtreme Sports to know about your child in order to best meet their needs.
I certify that the above listed student is physically able to fulfill the requirements to be a student at Texas Xtreme Sports. I understand that this form legally releases all obligations and responsibilities for medical treatment of my son/daughter in event of illness or injury during any activity when either parent can not be reached. If there is any physical or medical reason why he/she should not participate fully, Texas Xtreme Sports requires a doctor's release. Furthermore, Texas Xtreme Sports is not liable for any injury incurred during physical activity.
I/We the parents of the named student participate in cheerleading, tumbling, dance, or other physical activities while a student at Texas Xtreme Sports. By granting permission for said student to participate at Texas Xtreme Sports, I/We assume full responsibility for said student's personal safety and release Texas Xtreme Sports and its employees from any and all liabilities that may arise due to any injury including death to said student's participation in any activity at Texas Xtreme Sports, or which Texas Xtreme Sports is participating at elsewhere.
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Texas Xtreme Sports Media Release
Please be advised that while at the gym your child be photographed/videotaped during various activites. With your consent, the photograph or video may be reproduced and released for use in the media, for example brocures, flyers, videos, our gym website and various social media platforms such as Facebook and Instagram.
My child's photograph MAY be reproduced and released for use in the media (Facebook, Website, Instagram, Advertising)
My child's photograph/video MAY NOT be reproduced and released for use in the media and therefore will not be included in pictures/videos
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Texas Xtreme Sports Class
Cheer and Tumbling Classes daily
Payment Agreement Plan
Please enter your banking information below. We will use the account listed below to draft your weekly payment. All payments will be processed on Mondays. If your payment is declined there will be a $35 return fee. If you wish to cancel, we will need at least a weeks notice.
Student Name
First Name
Last Name
Name on Bank Account
First Name
Last Name
Address on bank account
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reoccuring Weekly Tuition Charge
$100 for one Student, $190 for two students, $280 for three students
Banking Account Information
Name of Bank
Banking Account Information - Routing Number
Routing Number
Banking Account Information - Account Number
Signature - I give Texas Xtreme Sports permission to draft from the account listed above on a weekly basis.
Submit
Should be Empty: