Registration

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This stunt clinic is for all-girl in positions of top girls, bases, and back spots of all levels. Three female coaches will be instructing all athletes in attendance. Athletes will be put into groups based on position, experience level, size/height. Athletes may also bring their own stunt groups.
If you have your own stunt group, we ask that you list the names in the questions field so we can consider that in the planning of stunt groups and keep you where you need to be!

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)*

Students entered below will be added to your family's account

Add New Student #1:

(Show-Hide Details)

	Student's First Name: *	Last Name: *
	Birth Date: *	(format=mm/dd/yyyy)
	Student Email:
	School:*	Grade Level:*
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Primary Doctor:
	Liability Agreement Date:

Questions/Options:


What is your stunting position? Base, Backspot, or Flyer?*
What is the highest level stunt skill you have done?*
For group stunts, do you have a stunt group or will you need to be matched with a group at the clinic? If you have a group, who else is in your group?

Additional Information: