Registration

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Try Out slots are based on skills that the athlete currently has not the team they wish to be on. To attend this tryout your athlete MUST have a triple back handspring and round off back handspring tuck on the floor without a spot. **All athletes wanting an oppourtunity to fly on ELITE Levels must have a heel stretch on both legs and a scorpion pulling the left leg up. Try outs are closed sessions. There is no parent viewing. Viewing room will be closed to all spectators.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

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

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

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

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Grade Level:
	Any Disabilites:*
	Any Allergies:*
	Any Medications:*

Questions/Options:


In a medical emergency I request that our doctor/physician be called and that my child be transported to ______________________ hospital?*
Our physician's phone number is?*
Our Health insurance provider is?*
Policy Number?*
Group Number?*
Insurance Address:*
My athlete can be considered for double teaming. *
I understand if the need is there for double team a WIDC coach will personally reach out to me during placements so I can ask my questions. *
I understand that if I say no to double teaming my athlete may be placed on a lower level team based on their skills or placed where they are needed most.*

Additional Information:

Liability

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