Registration
To register for our Tiny cheer program at ECE Central (in Lancaster, MA), please complete the following information. Tiny athletes (ages 3-6) need only register by August 1st. Athletes must have been born between January 1, 2013 and June 1, 2017. Please note that this is for team registration only. Additional documentation may be required prior to the start of the season.
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: *
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Athlete's age as of 12/31/2020*
Emergency Contact Name
Emergency Contact Phone Number
Allergies or Medications?
 
Additional Information:
 
RELEASE & INDEMNITY
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I've read the above and agree.
 
MEDICAL ATTENTION
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I've read the above and agree.
 
PICTURE/NAME PERMISSION
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I've read the above and agree.
 
VIRTUAL INSTRUCTION
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I've read the above and agree.
 
Covid-19 Assumption of Risk
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number:  
Name as it appears on card:
Nickname:
Card Expiration Month:   Exp Year:
Address Line 1: Address Line 2:
City: State: Zip: