N.A.C. Registration (Miss Maria’s Students ONLY) NAC EnrollmentName First Last Birthdate MM slash DD slash YYYY Email Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number* Number of Events*Please enter a number from 1 to 3.How many events/levels will your child participate in? (ex. Comp Routine Level 1 & 1a would be "2" Number of Events or Comp Routine, Power Tumbling, & Tramp Routine would be "3")Competition Date(s)* October 29, 2022 November 12, 2022 January 28, 2023 February 11, 2023 February 25, 2023 For every date you select make sure to increase the number of products being purchased at the very bottom where your total is tallied for a single event competition.Comp Routine*Check the competition routines your child will be competing in. Pre 1 1-a 2 3 4 5 6 7 8 9 10 Total Number of Compulsory Routines Quantity*This should include all compulsory routines for ALL competition dates you are paying for. Price: $34.00 Quantity Trampoline RoutineCheck the trampoline routines your child will be competing in. 1 2 3 4 5 Total Number of Trampoline Routines QuantityThis should include all trampoline routines for ALL competition dates you are paying for. Price: $20.00 Quantity Power Tumbling RoutineCheck the power tumbling routines your child will be competing in. 9.0 9.1 9.2 9.3 9.4 9.5 Total Number of Power Tumbling Routines QuantityThis should include all power tumbling routines for ALL competition dates you are paying for. Price: $14.00 Quantity Total $0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Upcoming Events There are no upcoming events. View Calendar Add Add to Timely Calendar Add to Google Add to Outlook Add to Apple Calendar Add to other calendar Export to XML
