Registration

Registration

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Event:

Start Date/Time:

End Date/Time:

Fee per Family:

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 (Not Contact #1 or #2)*

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Birth Date: *	(format=mm/dd/yyyy)
	Grade Level:*
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):

Questions/Options:


Athlete Name*
Athlete Age*
Athlete Birthday dd/mm/yyyy*
Years of cheer experience*
T Shirt Size
Any other details coaches need to know?
What program are you interested in? (All-Star, Tiny Novice All-Star, Rec.)

Additional Information:

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Enter your Full Name:

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Other Questions/Comments: