DIRECT LINK TO FORM
TUMBLING REGISTRATION - 2022 - 2023
Questions marked by * are required.
1. IMPORTANT: Please be careful to answer all questions marked by * - if any are missed the form will not process and you will be asked to arrow back and fix it.
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2. If you are registering multiple children; please list youngest to oldest separated by commas:
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3. Student's Name (First, Last) *
4. Student's Date of Birth: (MM/DD/YY) *
5. Student's Current Age: *
6. Guardian #1 Name (First, Last) and Cell Phone Number: *
7. Guardian #2 Name (First, Last) and Cell Phone Number
8. Student's Address:
9. City
10. Zip Code
11. Apartment Number:
12. Preferred Phone Number *
13. If you are a new tumbler, please tell us how you heard about us?
14. Primary Email *
15. Secondary Email
16. Please choose your class(es): *
  • Tumbling I (ages 4-7) – Fri/3:00-4:00pm
  • Tumbling I (ages 4-7) – Fri/4:00-5:00pm
  • Tumbling II (ages 8+) - Fri/5:00-6:00pm
17. If you are registering multiple children please use this box to clarify which classes are for which child.
18. If there are any medical conditions or special needs for your child please indicate them here:
19. All accounts must have a credit card on file. Tuition payments are due the 1st day of the month and considered late after the 7th day of the month. Payments not made by the 7th day of the month will automatically be charged (along with a $10 late fee) using the card on file.
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20. Card Number:
21. Card Expiration Date (mm/yy):
22. CVV CODE: (3 or 4 digit code on the back of your card)
23. Billing Zip Code:
24. If you do not have a credit card please indicate that here:
  • I do not have a credit card to put on file
25. IMPORTANT: We do not issue refunds for any payments made. In most cases however, a credit will be offered. *
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26. Tumbling ends at the end of April. Please choose 1 tuition option:
  • Option #1: Pay registration fee and full tuition at the time of registration, receive a 10% discount on total tuition
  • Option #2: Pay tuition in 2 payments, (the 1st payment and registration fee are due at the time of registration, the 2nd payment is due by 12/15), receive a 5% discount on total tuition
  • Option #3: Pay tuition monthly. The first payment and registration fee are due at the time of registration
27. The annual registration fee must be paid at the time of registration. Please choose your registration amount: *
  • $25.00-Single Child
  • $40.00-Family
28. Your payment is due at the time of registration. Please choose a payment option: (your child's place in class is not held until payment is made)
  • Please use my credit card to process my payment according to the option I have chosen in #29
  • I will I will pay through PayPal (click 'PayPal link' on the website’s registration page)
  • Other (please provide more information using the box below)
29. If you chose 'other' (as your payment option) in #31 please provide more information here:
30. If you wish you may sign up for auto-pay. Your monthly payment (if you have chosen tuition option #3) will be processed automatically on the 1st of the month using the card you provided. Auto pay ensures that your payment will always be on time and you will never have to worry about a late fee. Please indicate your preference:
  • I wish to sign up for monthly auto-pay. I authorize Ave Maria Dance Academy to charge my credit card monthly for my tuition payment.
  • I do not wish to sign up for auto pay
31. Don't leave yet! When you click submit you will be redirected to the liability waiver. *
  • OK