CONTACT FORM - PICO RIVERA Child's Name * First Name Last Name Parent or Guardian's Name * First Name Last Name Child's Age * Email * Phone (###) ### #### Class(es): Select all that may apply. Gymnastics/Tumbling Cheer & Dance Other Anything important we should know about your child? i.e. allergies, disabilities, etc.: How did you hear about us? * Thank you! Visit the KTA Website
