To enroll your child, please complete this form and return it to your daycare/preschool along with a check for $45.00 (includes $35.00 first month's tuition and $10.00 annual registration fee).
If within 616 area code please complete this form and return it to your daycare/preschool along with a check for $50.00 (includes $45.00 first month's tuition and $10.00 annual registration fee).
**Please Note: Fees must be paid and registration form must be completed before your child can attend class
TINY TUMBLERS REGISTRATION FORM
Preschool/Daycare ___________________________________________________________________________
1st Child______________________________________________Birth date______________________________
2nd Child______________________________________________Birth date_____________________________
Address__________________________________City______________________Zip Code_________________
Mother's Name___________________________Home Phone________________Work Phone______________
(or Legal Guardian name)
Father's Name___________________________ Home Phone________________Work Phone______________
Please list any health problems your child may have (please including allergies such as bees).
___________________________________________________________________________________________
Although our tumbling program is a dynamic activity for boys and girls, it also possesses the potential for injury to the participant. At the preschool level this potential is greatly reduced, but it is still a possibility. Participants shall indemnity hold harmless "Tiny Tumblers" from any and all claims, action and causes of actions whether groundless or not, in connection with any and all injuries, losses, damages, or facility of
any kind whatsoever arises, directly or indirectly, from participants in "Tiny Tumblers" activities. The "Tiny Tumlbers" activities bus is designed with safety in mind. We take care to warn your child of the dangers of doing unsupervised tumbling and trying skills they are unprepared for. Undersigned agrees any photos taken of their child may be used for promotional use by Tiny Tumblers. A $25.00 fee will be charged
for any returned checks. If tuition is overdue by 15 days, the student will not be allowed to participate in classes. The undersigned agrees to notify Tiny Tumblers directly (not the facility your child attends) within 14 days of your child's last class.
I (we) the undersigned do hereby consent to (our) child_________________________ participation in
the "Tiny Tumblers" bus at ____________________________________Preschool/Daycare Center.
I (we) acknowledge that I (we) have been informed of the risks of tumbling and movement education activities.
___________________________________________________________________Date____________________
Parent or Guardian Signature
E-mail address (optional for parents that would like a copy of our lesson plan e-mailed to them
weekly)____________________________________________________________________________________
If you have any questions, please call us at (269) 692-3118 or (269) 760-9227
