Selected Scholarship 4 week session class Registration Form

Scholarships Program Form

Be Beyond Great Tumbling Studio
Student's Name*

First NameLast Name
Birthdate

MonthDayYear
Date
Student's Name (sibling #2)

First NameLast Name
Date

MonthDayYear
Date
Student's Name (sibling #3)

First NameLast Name
Date

MonthDayYear
Date
Parent's Name*

First NameLast Name
Parent's Name

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone 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*
Should be Empty:

Scholarships Program Form