Tumblebus Allstars

Child's Name *

First Name

Last Name

Parent/Guardian #1 *

First Name

Last Name

Parent/Guardian #2

First Name

Last Name

Child's Date of Birth *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone number *

What is the best number at which to contact you?

(###)

###

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Payment Plan *

$13/class. Half price for siblings or staff children.

Monthly (9 equal payments of 4 classes)

Tri-annually (Three equal payments of 6 classes)

Bi-annually (Two equal payments of 9 classes)

Annually (The rest of the classes left in the season)

Enroll in Auto-Pay

Nate is going to attempt to offer an auto-pay option for the 2019/20 season, depending on the popularity of the offer.

I would like to enroll in auto-pay and have the cost of my invoice(s) automatically charged to my credit or debit card for a one-time (for the 2019/20 season) fee of $10.

Invoicing Format

Only applicable to credit card payments. Payments made by cash or check will be invoiced according to the first option.

I would like one invoice for the total amount for the year that I can bookmark/favorite. This way, I can check back periodically to see my current balance.

I would like separate invoices for each payment due.

Payment Format *

Guardians will be invoiced via email on the due date of the payment frequency chosen above. Cash or checks can be dropped off at school where payment envelopes will be made available. Credit card information can be input by following the link on the invoice sent via email.

Cash

Check

Credit Card

Sibling/Staff member discount

Please choose one if applicable. Siblings and staff member children are half price.

This is the sibling of another participating child.

This is the child of a staff member.

Acknowledgement of Cancellation Policy *

By checking this box, I acknowledge that I am signing my child(ren) up for the remainder of classes in this session and if I wish to unenroll my child(ren), I must do so in writing at Nate@TumblebusAllstars.com.

Parental/Guardian Consent and Acknowledgment of Policies *

Please see the top of the page for Policies and Consent Form page.

By checking this box, I acknowledge that I have read and understand Tumblebus Allstars' policies and agree to adhere to them. Additionally, I agree to the participation release and "Waiver of Liability" Agreement.