USAG Audition Registration

Number of Students Auditioning
Please enter a number from 1 to 3.
Childs Name*
First Last
Age*
Please enter a number from 1 to 20.
Birth date*
MM slash DD slash YYYY
2nd Childs Name*
First Last
Age*
Please enter a number from 1 to 20.
Birth date*
MM slash DD slash YYYY
3rd Childs Name*
First Last
Age*
Please enter a number from 1 to 20.
Birth date*
MM slash DD slash YYYY
Parents Name*
First Last
Phone*
Email*
NAC Levels Last Year (If Applicable)
Trying out for level*
Please put Tumbling and Trampoline level(s) you are trying out for this year.
Number of Children Trying Out
- 1 Child
- 2 Children
- 3 Children
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address*
Street Address Address Line 2 City State ZIP Code

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