Step 2 - Medical Insurance
All current and prospective CHEER Colorado (CCO) Volunteers who wish to participate physically in clinics, skill evaluation, or practices must provide proof of current Medical Insurance. 

Please use this form to confirm your proof of insurance. 

If you choose to e-mail your proof of Medical Insurance you can move to Step 3 here: https://forms.gle/CdHm6H5UJ9inSAKA8  or you can return to www.cheercolorado.org/tryouts to review all of the registration steps. 
Sign in to Google to save your progress. Learn more
Email *
What is your preferred name? This should match the name from your initial registration form. *
Does your preferred name match the name on your Medical Insurance card? *
If you answered No, please explain your relationship to the name on your Medical Insurance Card (e.g. partner's insurance, preferred name vs. legal name, legal name change, parent's insurance). If you answered Yes, leave blank and proceed to upload. 
Please provide a link to an image of the front of your insurance card here.  Be sure to set privacy settings such that anyone with the link can view and test before sending.

If you emailed photos of your card - please answer "emailed".

All images not belonging to Season 8 volunteers will be deleted by CCO at the end of September. 
*
Please provide a link to an image of the back of your insurance card here.  Be sure to set privacy settings such that anyone with the link can view and test before sending.

If you emailed photos of your card - please answer "emailed".

All images not belonging to Season 8 volunteers will be deleted by CCO at the end of September. 
*
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of CHEER Colorado.

Does this form look suspicious? Report