Sign Up for Tumbling Clinic: Back Tuck (Summer 2025) Please enable JavaScript in your browser to complete this form.July 8, 2025 5:30pm – 7:00pm Participant Information Participant Name *FirstLastAge *List any physical or medical history, including allergies, we should know about * Parent/Guardian Information Parent/Guardian Name *FirstLastPhone Number *Email *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeParticipant is an active registered Mon Valley Gymnast (current member of MVG team or actively takes weekly classes at Mon Valley Gymnastics) *Yes – $30.00No – $45.00Total$0.00(Includes 3% credit/debit card surcharge)Payment *CardName on CardWaiver and Photo/Video Release Click Here to read the waiver and photo/video releaseConfirmation *I acknowledge that I have read and agree to the waiver and photo/video release linked aboveSubmit