EHS POM STOMP & STUNT CLINIC
EHS Cheer will be hosting a STOMP & STUNT clinic on April 11th, 2019. This clinic is $20 Dollars and is open to current 5 - 8th Graders! Please fill out the form and have your $20 dollars on the day of the clinic!
Name of Participant *
Your answer
Birth date *
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DD
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YYYY
Age *
Your answer
School *
Your answer
Parent /Guardian *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Emergency Contact *
Your answer
Emergency Cell Phone *
Your answer
Medical conditions or allergies we should be aware of: *
Your answer
T-Shirt Size **Adult Sizes** *
Consent for participation
I hereby give permission for my child to participate in Stomp & Stunt clinic. This also means in the event of any emergency, I hereby grant permission to the coach/adults to take whatever action deemed necessary. In the event I cannot be reached, I give consent for my child to receive medical attention . I release El Reno Public Schools and the El Reno High School POM booster parents/club from any and all injuries and/or incidents that occur within the duration of the EHS POM Squad Clinic.
Do you give your child consent to participate? *
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