STUDENT TRIAL / TRYOUT SIGNUP FORM
2023 CHEERLEADING, ACROBATIC GYMNASTICS & DANCE SEASON
Student's Name
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First Name
Last Name
Parent/Guardians Name (if student is under 18 years)
First Name
Last Name
Date Of Birth (student)
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Month
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Day
Year
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Postal Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Area Code
Phone Number
Email Address
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Emergency Contact Name & Number
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How Did You Hear About Us?
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Mid North All Stars Facebook Page
Local Facebook Community
Instagram
Word Of Mouth
CCSLC Staff
City All Stars Facebook Page
Glen Osmond Baptist Church
Which Mid North All Stars Location Classes Are You Interested In Trying Out For & Enrolling Into For The 2023 Season?
Tumble Class
Recreational Cheerleading Class
Competitive Cheerleading & Dance Class
Pom Dancing Class
Acrobatic Gymnastics Class
Which City All Stars Location Classes Are You Interested In Trying Out For & Enrolling Into For The 2023 Season?
Pom Dancing Class Mercedes College
Pom Dancing Class Glen Osmond Gym
Contemporary Ballet Class Mercedes College
Contemporary Ballet Class Glen Osmond Gym
Cheerleading Expression Of Interest Mercedes College
Cheerleading Expression Of Interest Glen Osmond Gym
Acrobatic Gymnastics Expression Of Interest Mercedes College
Acrobatic Gymnastics Expression Of Interest Glen Osmond Gym
Which Tumble Skills Does The Student Have Without A Spotter/Supporter?
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No Prior Experience
Handstand Hold (level 1)
Cartwheel (level 1)
Front Walkover (level 1)
Back Walkover (level 1)
Forward Roll (level 1)
Backward Roll (level 1)
Round-off (level 1)
Dive Rolls (level 2)
Front Handspring (level 2)
Step Out (level 2)
Standing Back Handspring (level 2)
Jump to Back Handspring (level 2)
Connected Back Handsprings (level 2)
Tuck's (level 3)
Please List Level Of Cheerleading And Dance Experience. If Student Has No Prior Experience Please Leave Blank.
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Trial / Tryout Class
Attend your very first trial class at a once off special price! For those not requiring a tryout or a class trial this payment will be applied to your season invoice.
$
10.00
AUD
Signature (if under 18 years of age parent/caregiver must sign)
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Full Name (if under 18 years of age parent/caregiver must write their name here)
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Date
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Day
Year
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Payment Methods
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First Name
Last Name
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