Cheer Registration Form

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Please fill out this registration form for your child.

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Student First and Last Name *

Student Birthday *

LLLL

Home Address *

Select the campus your child attends *

Pinecrest North Preparatory PNP 8925 Fontainebleau Blvd, Miami, FL 33172

Pinecrest North Academy PAN 10207 W Flagler St, Miami, FL 33174

Your childs's grade and homeroom teacher *

Emergency Contact1 Parent/Guardian Name: *

Emergency Contact1 Parent/Guardian Phone Number:
*

Emergency Contact1 Parent/Guardian Email Address:
*

Emergency Contact2 Parent/Guardian Name:
*

Emergency Contact2 Parent/Guardian Phone Number:
*

Emergency Contact2 Parent/Guardian Email Address:
*

Shirt size (for uniform purposes) *

Bottom size (for uniform purposes) *

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