Registration Begins Dec. 13, 2011

All classes, days and times are subject to change.

Please complete and bring registration form and payment to the Parks & Recreation Office at

Riverside Center, 231 E. Monroe St., Decatur In.

Fee: Tumblin Tots (must be 3 by 1st day of class) and Ages 4 & 5 Beginners - $23.00

       Beginners for age 6 and up, Adv. Beg. 1, Adv. Beg. 2, and Intermediate- $27.00

Session Dates: Jan. 9 - Feb. 23, 2012

Choose one day and one class per child.

Gender                     Child's Name                                  Date of Birth                Age     Grade          Fee

M/F              ___________________________               ___________                ____      ____          _______

Monday                                                                                   Tuesday

____5:00 p.m. Adv. Beg. 2 & Intermediate (girls)          ____5:00 p.m. Adv. Beg. 1 & 2 (girls)

____5:45 p.m. 4 & 5 yr old Beginners                            ____5:45 p.m. Beginners (girls) 6 yrs & up

____6:15 p.m. Tumblin Tots (must be 3yrs old)                   ____6:30 p.m. 4 & 5 yr old Beginners

____6:45 p.m. Beginners (girls) 6 yrs & up                      ____7:00 p.m. Tumblin Tots (must be 3 yrs old)

Wednesday                                                                             Thursday

____5:00 p.m. Tumblin Tots (must be 3 yrs old)                  ____5:00 p.m. Beginners (girls) 6 yrs & up

____5:30 p.m. 4 & 5 yr old Beginners                             ____5:45 p.m. Tumblin Tots (must be 3 yrs old)

____6:00 p.m. Adv. Beg. 1 (girls)                                   ____6:15 p.m. 4 & 5 yr old Beginners

____6:45 p.m. Beginners (girls) 6 yrs & up                      ____6:45 p.m. Adv. Beg. 1 & Adv. Beg. 2 (girls

Gender                     Child's Name                                  Date of Birth                Age     Grade          Fee

M/F              ___________________________               ___________                ____      ____          _______

Monday                                                                                   Tuesday

____5:00 p.m. Adv. Beg. 2 & Intermediate (girls)            ____5:00 p.m. Adv. Beg. 1 & 2 (girls)

____5:45 p.m. 4 & 5 yr old Beginners                              ____5:45 p.m. Beginners (girls) 6 yrs & up

____6:15 p.m. Tumblin Tots (must be 3yrs old)                   ____6:30 p.m. 4 & 5 Beginners

____6:45 p.m. Beginners (girls) 6 yrs & up                      ____7:00 p.m. Tumblin Tots (must be 3 yrs old)

Wednesday                                                                             Thursday

____5:00 p.m. Tumblin Tots (must be 3 yrs old)                  ____5:00 p.m. Beginners (girls) 6 yrs & up

____5:30 p.m. 4 & 5 Beginners                                       ____5:45 p.m. Tumblin Tots (must be 3 yrs old)

____6:00 p.m. Adv. Beg. 1 (girls)                                   ____6:15 p.m. 4 & 5 Beginners

____6:45 p.m. Beginners (girls) 6 yrs & up                     ____6:45 p.m. Adv. Beg. 1 & Adv. Beg. 2 (girls)

Adams County Resident _____                       NON Adams County Resident _____

Female of Household                 Name:_________________________________

                                             Address: _________________________________

                                                 City:_____________________ State:______ Zip:___________

                                           Home Phone:___________________ Cell:___________________

Male of Household                 Name:_________________________________

                                             Address: _________________________________

                                                 City:_____________________ State:______ Zip:___________

                                           Home Phone:___________________ Cell:___________________