2026 Revival Aerobics Studio: Expression of Interest:
Are you interested in competing in sport aerobics or cheer in 2026? Fill out the below information to register your interest in joining our competition squad!
ATHLETE INFORMATION:
Athlete Name
*
First Name
Middle Name
Last Name
Athlete Birth Date
*
Please select a day
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Please select a month
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Year
Grade (2026):
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
T-Shirt Size: (Kids / Adults)
LEVEL: I would like to be considered for: (Select multiple)
Pre Choreographed (Beginner)
National Stream
International Stream
Unsure
CATEGORY: I would like to be considered for: (Select multiple)
Sport Aerobics - Solo
Sport Aerobics - Pair / Trio
Sport Aerobics - Fitness Team
Cheerleading (Pom) - Team
Audition Sections
Unsure
ROUTINES: I would like to be considered for: (Select multiple)
1 routine
2 routines
3 routines (Maximum)
Unsure
EMERGENCY INFORMATION:
Parent / Guardian Name
*
First Name
Last Name
Contact Phone Number
*
-
Area Code
Phone Number
Contact E-mail
*
example@example.com
ATHLETE HISTORY & MEDICAL INFORMATION:
Previous Experience (Please include years of experience, other sports, etc). If you have competed in Sport Aerobics or Cheer before please list your most recent level/ colour stream and competition level:
*
Does your child have any allergies, disabilities, medical conditions or pre-existing injuries that may limit them from high impact activity? (If yes, please list):
*
Please upload any relevant medical plans/ information as required:
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Additional Comments
I understand the sport of Sport Aerobics and Cheerleading associated training can resolute in injury and I give my permission for my child to receive medical/ ambulance assistance in the case of emergency and agree to pay such costs incurred.I agree that Revival Aerobics Studio will not be held responsible for any injury, etc incurred and that any claim/s will not be passed onto Revival Aerobics Studio. It is up to the parents/guardians of the child to take care of any medical attention if needed.
*
I agree
The information provided on this form is complete and correct to the best of my knowledge and I undertake to advise Revival Aerobics Studio promptly of any changes that may occur. By signing this form I agree to all the above conditions.I have completely read and agree to the terms and conditions outlined by Revival Aerobics Studio.
*
I agree
Signature
*
Name
*
First Name
Last Name
Please verify that you are human
*
Register Interest
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