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Cheerleading Registration Form

Collects each athlete's medical, contact, and experience details for a cheer squad, along with parent or guardian authorization.

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Please read the following information carefully before continuing with registration.

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I/We agree with the above*

I agree I disagree

Full Name:*

First Name

Last Name

Date of Birth:*

Returning Athlete*

Health Card #*

Health Card Expiry*

Allergies/Disabilities/Special Needs/Medications

Family Doctor

Health Insurance

Address:*

Street Address

City

State / Province

ZIP / Postal Code

Primary Phone:*

Athlete Photo

Max 10 MB per file

Parent/Guardian 1:

First Name

Last Name

Parent/Guardian 2

First Name

Last Name

Primary Phone:

Alternative Phone:

E-mail:

Previous cheer experience*

Yes No

Highest level competed*

Recreational School / Varsity All-Star National

Previous dance or gymnastics experience (survey for athletes new to cheer)

Yes No

STUNTING experience (position on main team)

Base Flyer Backspot None

Additional Stunting Experience (Elaborate below)

Tumbling experience (Elaborate below)*

Select all that apply below:

I consent to emergency medical treatment I consent to photo/video use I have read the code of conduct I agree to the fee payment policy

Comments or Questions

Do you have a sibling(s) or additional children that will be registering as well? If so please indicate their name and age below.

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