Dance, Tumble, Stunt and Cheer Prep

Name of the Class you are registering for

Child's Name

First Name

Last Name

Age

Date of Birth

YYYY

Parent/Guardian Information

Parent/Guardian Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

(###)

###

####

List 3 Emergency Contacts

Please list people above the age of 16 that will be able to pick up your child.

Photo ID will be required for everyone on this list picking up your child.

Medical Information

Are there any specific behavioral challenges or needs your child has, such as ADHD, autism spectrum disorder, or anxiety? Sharing this information helps us create a supportive environment tailored to your child's requirements.

List any dietary restrictions of your child

By typing my name below, I hereby consent and grant permission for my child to receive necessary medical treatment in the event of an injury or illness while attending Create Me Programs. I fully accept responsibility for payment of all such medical charges. I hereby indemnify Create Me and its employees and representitives and hold them harmless in the exercise of its duty under the authority.

Please note:

Registration is not complete until payment has been submitted.

Registration payments are non-refundable and cannot be transferred to another program or season.

We look forward to having you join us! Spring 2025 Registration is $85

If you are registering more than one child, please complete a separate registration form and payment for each child. We will contact you within 24 hrs to finalize the registration process.

Thank you for your submission!
To complete your registration, please scroll down and click the Pay Now button to submit your registration payment.

Please note:

Registration is not complete until payment has been submitted.

Registration payments are non-refundable and cannot be transferred to another program or season.

We look forward to having you join us! Spring 2025 Registration is $85

If you are registering more than one child, please complete a separate registration form and payment for each child. We will contact you within 24 hrs to finalize the registration process.

Thank you for trusting our program, we truly appreciate your support & WELCOME TO THE CREATE ME DANCE, TUMBLE, & CHEER FAMILY!

CreateMe336.org

Thank you for your submission!To complete your registration, please scroll down and click the Pay Now button to submit your registration payment.

Please note:

Registration is not complete until payment has been submitted.

Registration payments are non-refundable and cannot be transferred to another program or season.

We look forward to having you join us! Spring 2025 Registration is $85

If you are registering more than one child, please complete a separate registration form and payment for each child. We will contact you within 24 hrs to finalize the registration process.

Thank you for trusting our program, we truly appreciate your support & WELCOME TO THE CREATE ME DANCE, TUMBLE, & CHEER FAMILY!

CreateMe336.org

Thank you for your submission!
To complete your registration, please scroll down and click the Pay Now button to submit your registration payment.