Registration Form

After completion of this form you will be redirected to the payment page. Select your class registration either new are returning.

Athlete

First Name

Last Name

D.O.B

Parent/Guardian

First Name

Last Name

Phone

(###)

###

####

Email

Tumbling Skills

Cartwheel

Round-off

Backbend Kickover

Back Walkover

Backhand Spring

Will your athlete be trying out as flyer?

Yes

No

List any special problems that your athlete may have, such as allergies, asthma, injuries or any other information ECI should be aware of?

Empire