Scholarships Program Form
Be Beyond Great Tumbling Studio
Student's Name
*
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Student's Name (sibling #2)
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Student's Name (sibling #3)
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Parent's Name
*
First Name
Last Name
Parent's Name
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Classes interested in (these are only 4 week sessions)
*
(Sat Only )Tiny Tumbling (15m To 2y) 10:00am-10:45am
(Thur )Young Tumbling (3y to 5y) 5:00pm-6:00pm
(Sat )Young Tumbling (3y to 5y) 11:00am-12:00pm
(Thur) Basic Tumbling I (6 to 14) 6:00pm-7:00pm
(Sat) Basic Tumbling I (6 to 14) 12:00pm-1:00pm
(Tues) Dance Classes (3 to 16)
(Wed) Cheer Classes ( 5 to 14)
This will a one session Scholarship Tuition to the first 15 students who submits this form. Please check the boxes to be considered for this scholarship
*
I will be able to transport ( Picked up and Dropped off) my child to the tumbling studio?
Please write why you should be selected for the scholarship
*
Please list any allergies or medical conditions your child has that we need to be aware of
*
Submit
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