The form below is a generic registration form for Tumble City events or classes.  A separate form is needed for each individual and each class or event.  Some events or classes may require an additional form to be completed at the site.  To ensure your reservation for the class or event, be sure to call Tumble City and schedule your trial class.  Please print the form and bring it with your $5 trial fee to:
Tumble City, 12146 California Street, Yucaipa, Ca  92399

Tumble City Registration Form

Name:_________________________________________Phone:_______________________________

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Address                                                                                       City                                               State              Zip

Date of Birth:__________________________Gender: _____Male   _____Female

Emergency Phone(s):___________________________________________________________________

Emergency Contact:____________________________________________________________________

Name of Class or Event:_________________________________________________________________

Day(s):_____________________________Time(s):__________________________Fee:_____________
We, the undersigned, do hereby give permission for the above named individual to participate in the above named class or event and acknowledge the risk herein.  We understand that any activity involving motion or movement can result in injury and therefore acknowledge full responsibility for such risk.  We hold harmless Tumble City, Cheryl Hunter and Family, Wendy Dinkel and Family, the property owner and the City of Yucaipa in the event of accidental injury or death before during or after any Tumble City event or activity.  We further understand that all fees paid are non-refundable unless otherwise determined applicable by Tumble City owners.

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signature of parent or guardian                 date           signature of parent or guardian              date