Royal B. Cheer and Dance 2022-2023 Registration
WAIVER INFORMATION
I'm / (my child is) interested in cheering at Royal B. Cheer and Dance Co. I/We understand I/We will be required to sign a code of contact contract as well as a safety waiver before the beginning of the season. I/We promise to abide by the rules and regulations set forth by RBC. I/We promise to cooperate and follow the instructions of Coach Bree, (the cheerleading coach).
I/We agree with the above
*
Yes
No
APPLICANT INFORMATION
Future RBC Cheerleader
Full Name:
*
First Name
Last Name
Date of Birth:
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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Day
Please select a year
2019
2018
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2015
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1991
1990
Year
Returning Athlete
*
Please Select
Yes
No, new to cheer
No, but cheered elsewhere
Allergies/Disabilities/Special Needs/Medications
Leave Blank if None
Family Doctor
Please list name and phone #
Address:
*
Address
Street Address Line 2
City
Province
Postal Code
Primary Phone:
*
-
Area Code
Phone Number
Athlete Photo
Browse Files
Upload a current photo (headshot preferred)
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PARENT/GUARDIAN
If you are registering as an adult athlete, it is not required to fill out form below. Parents who register on behalf of their adult children, please fill out below. For minors, it is mandatory to have at least one parent/guardian contact.
Parent/Guardian 1:
First Name
Last Name
Parent/Guardian 2
First Name
Last Name
Primary Phone:
-
Area Code
Phone Number
Alternative Phone:
-
Area Code
Phone Number
E-mail:
ATHLETE HISTORY
Filling out the information below will enable the coaching staff to place athletes on our preliminary team roster.
Previous cheer experience
*
Yes, I am a returning athlete
Yes, but with another program
No
Highest level competed
*
1
2
3
4.2
4
5
6
7
Other
Previous dance or gymnastics experience (survey for athletes new to cheer)
Yes, I been a member of a dance program
Yes, I have been a member of a gymnastics program
Yes, I have been a member of both a dance & gymnastics program
No
STUNTING experience (position on main team)
Base
Main Base
Back Spot
Flyer
None
Additional Stunting Experience (Elaborate below)
Tumbling experience (Elaborate below)
*
Favorite pass, skills you had looking to regain, most difficult tumbling skill in your arsenal etc.
Select all that apply below:
I am interested in travelling
I am interested in competing for either cheer or dance
I am interested in applying for a coach position
I would like more information on prep cheer options
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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