2011 Cheerleading, Dance, & Football Registration Form
Participants Information
First name
Last name
Address
City
Zip Code
Birth Date (xx/xx/xx)
Age as of August 01, 2011
Mother's Information
First name
Last name
Address
City
Zip Code
Main Phone (xxx.xxx.xxxx)
Alt. Phone (xxx.xxx.xxxx)
Email
Father's Information
First name
Last name
Address
City
Zip Code
Main Phone (xxx.xxx.xxxx)
Alt. Phone (xxx.xxx.xxxx)
Email
Custodial Parent
Parent
Mother
Father
Sport
Sport
Football
Cheer
Dance
Documents
Birth Certificate
Report Card
Medical Consent
Waiver/Consent
Emergency / Medical Info
Code of Conduct
Payment Information
Date (x/xx/xx)
Check
Check Number
Amount Owed
Cash
Paid in Full
Team Selection
Weight
Team
Bandit
Mighty Mite
Cadet
Jr Pee Wee
Pee Wee
Jr. Midget
All American
Submit Form
