Registration
To register for our Tiny cheer program at ECE Central (in Lancaster, MA), please complete the below information. Tiny athletes (ages 3-6) must have been born between January 1, 2013 and June 1, 2017. Please note that 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: