Tumbling Clinic Registration Form ⭐

Tumbling Clinic Registration Form ⭐

Please fill out your details to register for the tumbling clinic, review the liability agreement, and proceed with payment.
Athlete's Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Athlete's Age
I authorize SJC All Stars to use my child's image and/or likeness in official media, including: Our Facebook, promo material, newsletters and related media.*
Parent/Guardian Name

First NameLast Name
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name

First NameLast Name
Relationship to Athlete:
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Session Selection
Medical Conditions or Allergies (if any)
I hereby grant permission to allow my child to participate in athletic activities, as sponsored by SJC All Stars, Inc..

Furthermore, I hereby release SJC All Stars, Inc., it’s officers, agents, and coaches from any legal or financial responsibility resulting from actions of, or injury to my child while engaged in any or all of these sponsored activities (i.e. practices, games, competitions). It is my understanding that every registered participant will be covered by accident insurance.

I also certify that my child has NO HEALTH OR PHYSICAL IMPAIRMENTS which will hamper his/her ability to perform as a Cheerleader or cause his/her participation to be unsafe to themselves or other participants. If there are any health/physical problems SJC All Stars, Inc. should be aware of please indicate below:
I/We agree with the above*
Health/Physical Limitations (if any):
Insurance Carrier:
Policy#:
I agree
Signature
Tumble Clinic Payment
prevnext( X )
Tumble Clinic Fee
$15.00

Total

$0.00
Payment Methods

Choose from one of the PayPal options to make your payment.
Should be Empty:

Tumbling Clinic Registration Form ⭐

Tumble Clinic Payment*

Payment Methods

Tumble Clinic Payment