Registration
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Come be a cheerleader for a day and learn to stunt, jump, dance and tumble! We will be playing some fun games and present a routine at the end of the camp - FUN! Camp will be held at our CHEER LOCATION: 1359 Planeview Drive, Suite 3, Oshkosh, WI 54904 (approx. 4 miles from OGC's 20th Avenue location. Travel down Washburn Street (west frontage road) heading south. Cheer facility is approximately 1/2 mile past Hwy 26 intersection in Planeview Business Park (2nd building back).
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
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Family Information
First Name:
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Last Name:
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Type
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Doctor/Physician
Father
Grandparent
Guardian
Mother
Other
Parent
Step Father
Step Mother
Home Phone:
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Cell #:
Work #:
Email:
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(Emails are kept confidential)
Address:
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City:
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State:
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Zip:
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Emergency Contact Info
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Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Birth Date:
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(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Student Gender:
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Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Student Gender:
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Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Questions/Options:
Are you a new or returning Cheer Athlete?
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Athletes Full Name
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Athlete's Birthday
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Athlete's Age as of August 31, 2017
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Does your Athlete have a nickname? Please give us their nickname.
Email Address to Best Reach a Parent or Guardian
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Did you register with a friend?
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Yes
No
If you registered with a friend, what is your friends name?
Additional Information:
Authorization of Medical Care
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In case of illness or injury while with Oshkosh Gymnastics & Cheer, LLC in cases where a parent cannot be reached, the staff of Oshkosh Gymnastics & Cheer, LLC may authorize medical care and treatment for the above named participant.
I've read the above and agree.
Agreement to Participate
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I understand that cheer like any other situation involving height and movement involves risk and the chance of serious injury. This student has no problems that might compromise their safe involvement.
I've read the above and agree.
Liability Waiver
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I understand that Oshkosh Gymnastics & Cheer, LLC carries secondary insurance for participants and forever releases the staff and owners from responsibility of liability for medical expenses incurred by any participant.
I've read the above and agree.
Enter your Full Name:
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Other Questions/Comments:
Credit Card Verification:
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Name as it appears on card:
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Nickname:
Card Expiration Month:
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Exp Year:
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Address Line 1:
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City:
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Zip:
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