2024-2025 Evaluations Registration Form

2024-2025 Student Registration Form

Fill out the form carefully for registration
Student Name

First NameMiddle NameLast Name
Students current age
Birth Date

MonthDayYear
Please submit a clear photo of the student

Cancelof
For returners only: please select team you where in 2023-2024
Gender
How did you hear of us/ did someone refer you?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Phone Number
Format: (000) 000-0000.
Which are you applying for
What type of program are you interested in?
Front/Back rollCartwheelRound offFront walk overBack walk overBack handspringAll level 2 skillsOther
Additional Comments (please add any skills from tumbling or past experience and teams other then 1st Impression)
By signing you are acknowledging that all the information you provided is correct and you are interested in joining our company (Registration fee of $25 will be due 1st day of evaluations it includes all 3 days of Instruction) ,it can also be zelled to impression2007@aol.com

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2024-2025 Student Registration Form