Harford Cheerleading Online Registration

Registration

Already a customer? Click here to login.

Welcome! Please complete the registration form below to enroll.

* denotes required fields

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info. (Not Contact #1 or #2)*

Contact #1

Contact #1 First Name*

Last Name *

Type

How Can We Contact You?

Home Phone

Cell # *

Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Harford Cheerleading. Standard message and data rates apply. Reply STOP to opt out

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Harford Cheerleading. Standard message and data rates apply. Reply STOP to opt out

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name

Last Name

Student Gender

Birth Date

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Harford Cheerleading. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

Transportation: Permission to Release to this person if guardian is unavailable

Disabilities or Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Do you give permission for staff to administer OTC medication AS NEEDED (Athletes 12 & older only) *

Choose the "class" (or program) that works best for you! Payment must be made in order to complete registration and participate. To pay, you must complete the registration and payment details when prompted, click through until complete. A receipt will be sent to you if it is done correctly.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name

Last Name

Student Gender

Birth Date

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Harford Cheerleading. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

Transportation: Permission to Release to this person if guardian is unavailable

Disabilities or Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Do you give permission for staff to administer OTC medication AS NEEDED (Athletes 12 & older only) *

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name

Last Name

Student Gender

Birth Date

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Harford Cheerleading. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

Transportation: Permission to Release to this person if guardian is unavailable

Disabilities or Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Do you give permission for staff to administer OTC medication AS NEEDED (Athletes 12 & older only) *

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name

Last Name

Student Gender

Birth Date

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Harford Cheerleading. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

Transportation: Permission to Release to this person if guardian is unavailable

Disabilities or Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Do you give permission for staff to administer OTC medication AS NEEDED (Athletes 12 & older only) *

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name

Last Name

Student Gender

Birth Date

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Harford Cheerleading. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

Transportation: Permission to Release to this person if guardian is unavailable

Disabilities or Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Do you give permission for staff to administer OTC medication AS NEEDED (Athletes 12 & older only) *

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

Membership Type

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

Registration

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)