2018 Team Placement Registration Form
Email address *
Athlete's Name (First and Last) *
Your answer
Athlete's Birthdate *
MM
/
DD
/
YYYY
Athlete's Age as of August 31, 2018 *
Your answer
Athlete's Cell Number (including area code)
Your answer
Athlete's Email
Your answer
Does the athlete have any previous cheer experience? (No experience is necessary for the athlete to join a team.) *
If yes, please list the athlete's experience below. (Name of teams and years of experience)
Your answer
Standing Tumbling Skill Level (Mark highest skill the athlete already has) *
Running Tumbling Skill Level (Mark highest skill level the athlete already has) *
Stunt Position (Mark all that apply) *
Required
Stunt Skill Level (Mark the highest skill level the athlete already has) *
Will you accept ANY position on ANY Show Team? *
Parent Name (First and Last) *
Your answer
Parent Cell (including area code) *
Your answer
Parent Email to send billing to *
Your answer
Emergency Contact Name (First and Last) *
Your answer
Relationship to Athlete *
Your answer
Emergency Contact Phone Number (including area code) *
Your answer
Medical Insurance Company *
Your answer
Policy #
Your answer
Are there any pre-existing medical conditions the athlete has that we should know about? *
If yes, please explain.
Your answer
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