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                                   2023 PRHS Youth Cheer Clinic
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Participant Name (Last, First)
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Participant Grade
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Parent/Guardian Name (Last, First)
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Parent/Guardian Phone Number (xxx)xxx-xxxx
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Parent Email
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Emergency Contact & Phone Number (other than parent)
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What youth, school, and/or gym team is the participant affiliated with? If none, please indicate INDEPENDENT
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Do you plan to attend the optional performance at the football game?
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How did you hear about this event?
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RELEASE OF PHOTOGRAPHIC IMAGE AND/OR VIDEOGRAPHY - Please Read

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We have read the information above concerning the risks of cheerleading. We understand and assume all risks associated with attending the youth cheer clinic. In signing this form, we assume the inherent risks of cheerleading and waive any further legal action by our heirs, estate, executor, administrator, assignees, family members and ourselves.
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