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

MM

DD

YYYY

Parent/Guardian Information

Parent/Guardian Name

First Name

Last Name

Email

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.

Welcome to the Create Me

Dance, Tumble, & Pom Family!

We're so excited to have you join us this summer!

Registering more than one child?
Be sure to complete a separate registration form for each child.

Once your form is submitted, a member of our team will reach out within 24 hours to help you finalize everything.

Thank you for trusting Create Me with your child’s growth and creativity. We truly appreciate your support and we’re excited to welcome you to the family!

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