Registration Form
2020 Program Registration
Parent Name
*
First Name
Last Name
Child 1 Name
*
First Name
Last Name
Child 1 Birthdate
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Child 2 Name
First Name
Last Name
Child 2 Birthdate
Email
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example@example.com
Phone Number
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-
Area Code
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Address
Street Address
Street Address Line 2
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Programs Interested In
Rec Performance Cheer Teams
Tiny Cheer (ages 3-5)
Private Lessons
Mobile Program
My Products
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2 Private Lesson Pack
2 forty minute one on one lessons
$
90.00
Quantity
1
2
3
4
5
6
7
8
9
10
4 Private Lesson Pack
4 forty minute one on one lessons.
$
160.00
Quantity
1
2
3
4
5
6
7
8
9
10
8 Private Lesson Pack
8 forty minute one on one lessons
$
220.00
Quantity
1
2
3
4
5
6
7
8
9
10
Performance Rec Team/Tiny Cheer Tuition
Monthly Fee
$
80.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
First Name
Last Name
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Security Code
Expiration Date
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