IPFL Cheer Registration Form

Indie Pro Cheer - 2022 Registration Form

* ALL REGISTRATION FEES ARE FOR REGISTRATIONS FROM JULY 25, 2022 - SEPTEMBER 30, 2022

ALL AGE GROUPS

Association of Independent Sports

www.indieprofootball.com

IPFL ATLANTIC TERRITORIES

Choose Your Desired Atlantic State

IPFL PACIFIC TERRITORIES

Choose Your Desired Pacific State

Cheerleader Information

Age Category*

Select You Age Division

Cheerleader's Age*

Name*

First NameLast Name

Date of Birth*

Date

Guardian / Parents Names

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Home Phone*

Cell Phone

E-mail*

example@example.com

Please upload a recent picture of the Registering Cheerleader.*

Recent Photo is Required

Please Upload Your Audition Video or Reel For Consideration.

AUDITION VIDEO IS REQUIRED!

Skill level*

1 is Beginner, 5 is Advanced

Does applicant have any notable skills?

Cheerleader Size

Important Notes

· Cheerleader Tryout Registration fees:

Kids $99.00 | Teen $199.00 |

Adult $299.00

· REGISTRATION FEES ARE NON REFUNDABLE AND DOES NOT GUARANTEE APPLICANTS A POSITION ON AN IPFL CHEER SQUAD.

· Applicants must be selected during the Tryouts in order to work in the IPFL 2023 Inaugural Season.

· All Applicants are required to have a physical examination within 30 days PRIOR to the beginning of tryouts. This ideally should be done by your primary physician or other health care provider at home. This is especially important if you have any chronic medical conditions. A copy of the physical must be provided prior to beginning of tryouts, via email or presented in person.

Emergency Contact & Health Insurance Information

Emergency Contact's Name*

First NameLast Name

Relationship*

Phone Number*

Is applicant currently part of any other Cheer or Dance Organization(s)?*

YesNo

What School Does Applicant Attend?

This applies to all minor Athletes.

Applicant's Grade (If Applicable)

This applies to all minor Athletes.

Does applicant have any allergies, chronic illness, or medical conditions that would limit high level activity?*

YesNo

Please describe

Permission For Emergency Treatment

In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel, and I authorize the person in charge to take athelete to nearest Medical Facility.

I give consent for the facility to secure any and all necessary emergency medical care.*

Yes, I give my consent.No, I do not give my consent.

Name of Physician / Emergency Medical Care Facility

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Release of Liability

Although the safety of all sport activities is the primary concern, all contact sport activities have a risk of injuries and/or death. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against the AIS, Indie Pro Sports, or The IPFL and the persons in charge.

I have read and agree to the above conditions*

YesNo

Confirmation E-mail*

example@example.com

My Products*

Kids (8-12) Indie Pro Cheerleader Tryout Registration Product Image

Kids (8-12) Indie Pro Cheerleader Tryout RegistrationLittle Kids Cheerleader Registration for Indie Pro Football 2022 Tryouts (ON-SITE REGISTRATION $98.00)

$99.00

Teen Indie (13 - 17) Pro Cheerleader Tryout Registrations Product Image

Teen Indie (13 - 17) Pro Cheerleader Tryout RegistrationsTeen Cheerleader Registration for Indie Pro Football 2022 Tryouts (ON-SITE REGISTRATION $398.00)

$199.00

Adult Indie (18+) Pro Cheerleader Tryout Registrations Product Image

Adult Indie (18+) Pro Cheerleader Tryout RegistrationsAdult Cheerleader Registration for Indie Pro Football 2022 Tryouts (ON-SITE REGISTRATION $598.00)

$299.00

Total

$0.00

Credit Card

Signature*

After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at info@indieprofootball.com