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Winter 2011 Tumbling Registration 1/10/11 - 4/15/11
*Parent:
*Student:
*Parent Email:
*Parent Phone:
*Student DOB (00/00/00):
*Students Grade in School (09/01/10)
*Select Tumbling Class:
Select One
Level 1 (ages 5 - 9): Monday 5-6:15
Level 1 (ages 10 and up): Tuesday 7:00 - 8:15
Level 2 (all ages): Thursday 5 - 6:15
Level 3 (all ages): Monday 6 - 7:15
Level 4 & 5 (all ages): Thursday 7:00 - 8:15
*Select Payment Option:
Select One
$ 210.00 (UC Member on Squad)
$ 235.00 (Non-Member)
*Payment Type:
Select One
Use credit card on file (UC Member)
Use Credit Card Below
Type of Credit Card:
Select One
Visa
Mastercard
American Express
Credit Card No.:
No dashes please
Credit Card Exp. date mm/yy
Security Code on back of card:
Usually 3 or 4 digit number
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