Register Online

ON-LINE REGISTRATION FORM

Use this form to register for PopStar Academy program and Gymnastics program.

Register for all programs here and then click at bottom of page if you choose to pay tuition with paypal.  Be sure to click send to complete registration. 

You must pay tuition online or by mail to ensure you child is registered for our program.

 

Parent's Name (required)

Parent's Email (required)

Contact Phone Number(s) (required)

Address (required)

Child's Name (required)

Child's Age (required)

Please list and describe any physical or mental limitations, allergies or other pertinent information regarding your child's health or please type none

Name of School, City & State, your child will be participating in our classes

If you know the day & time for the class your child will be participating, please type below.

Child's Room teacher (required)

Additional information that is important before he/she participates in our program(required)

Terms of Agreement: To the extent permitted by law and knowing the risk of this activity, I hereby release, waive and agree to hold harmless; USA Champion Kids and its coaches and agents from any and all liability arising out of my child/s participation in this program, including but not limited to, medical bills, court costs and attorney's fees, any damage to my property or the property of others or other persons.

I accept the terms of this agreement

I allow USA Champion Kids the right to use my child's picture for advertisement and/or Youtube videos. Note: Videos may be posted on Youtube to share with family and friends. If this box is not checked "yes" you will not have a video of your child's performance available. This is not a guarantee the video will be posted on youtube

YesNo

How do you choose to pay tuition?(required)
I will pay onlineI will mail check

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After clicking send button, you can click pay now button to pay tuition thru paypal or mail payment by check to: USA Champion Kids; email us for the mailing address