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1-914-525-7570
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Registration
TUMBLEBUS Online Registration Form
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Child's First And Last Name
*
First
Last
Second Child's First and Last Name
First
Last
Child's School
*
Birthday
Age
Does your child have any allergies or medical conditions?
*
Parent's First And Last Name
*
First
Last
Parent's Email
*
Contact Information
*
Cell or Home
Street Address, City
*
First
Last
Example: 1 Tumbling Lane, Monroe
State, Zip Code
*
First
Last
Example: NY, 10950
Plan Options
*
- Please select -
Plan A
Plan B
Plan C
Plan D
|| Plan A - $12 Weekly (2nd child $8) Cash or check only || Plan B - Monthly Discount $48 (2nd child half price) || Plan C - Monthly Discount Auto Charge $44 (2nd child Half price) || Plan D - Pay in full (2nd child half price) - Contact office
If Selecting Plan A, Please Select An Option Below
- Please select -
Take my child even if I forget payment.
Do not take my child without payment.
TumbleBus NY will be taking your child EVERY week, unless you call our office to discontinue.
Card Type
*
Visa
Mastercard
American Express
Discover
Name (as it appears on card)
*
Credit Card Number
*
Security Code
*
Expiration Date
*
Checkboxes
*
By clicking this box, you agree to pay the full amount for your plan. Please note that we do not offer refunds for missed classes. In the event that your child misses a class, make-up sessions may be offered subject to availability.
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