Cheerz Tumbling & Trampoline Classes
summer registration form
Cheerz Cheerleading Academy, 1739 La Neuville Rd. Lafayette, LA 70508
We do not mail confirmations.  If there is a conflict in the day you requested, we will call you.  Just come on the day you registered. Wear comfortable clothes. Please fill out form completely, print, and return it to Cheerz. *Don't forget to sign and initial*
**Please note: There will be no class the week of July 4th**
Name

                                                                 Class_____________
School                                                Day/Time_____________
Street Address City 

         (for office use only)

State ZipCode Home Phone

 
Age Grade

 

Birthdate 

  

Mother's Name Place of Employment

Mother's Cell # Wk # SSN

Email

Father's Name Place of Employment

Father's Cell # Wk # SSN

 Email

Relative in case of emergency    Phone

Please Check the Class(es) to be Attended (all classes are 1 hour per week)

Beginner/Intermediate1 Tumbling- Wednesdays 4:30 - 5:30 pm
Intermediate2/Advanced Tumbling- Wednesdays 6:30 - 7:30 pm
Trampoline- Wednesdays 5:30 -6:30 pm (**Class is full)
 
2008 Summer Session Prices
June 4 - July 16 1 session = $120
  2 sessions = $200

ALL MONIES ARE NON-REFUNDABLE.

I, , give my child, , permission to participate in Cheerz Cheerleading Academy, Inc.'s program.  I understand that cheerleading involves intense physical activity and the chance of injury does exist.  My child is in good health and capable of participating in this type of activity.  I release and agree to hold harmless the Cheerz Cheerleading Academy, Inc. and it's staff from any liability whatsoever.  In case of emergency, I give Cheerz and its staff permission to call for medical attention.

Signature  ___________________________________          Date _______________

I understand that tuition is due in full upon registering for the session regardless of attendance.  Should this account Default, it will be turned over to the Credit Bureau of Baton Rouge. 

Initials ________                Cheerz Initials _________