Clinic
One time clinic with Yahir!
Cheerleaders Name
*
First Name
Last Name
Parents Name
*
First Name
Last Name
Parents NUMBER
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Any medical issues we should be aware of?
*
Additional names who will be attending
My Products
*
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Jump Clinic
$15.00
$
15.00
Payment Methods
Credit Card
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Liability Waiver & No Refund Policy Agreement, the parent/legal guardian of the above-named athlete, understand that participation in cheerleading, tumbling, stunting, and related activities at Xplosion Allstars involves physical activity and inherent risks, including but not limited to injury, illness, or accidents. By signing below, I acknowledge and accept these risks and agree to release and hold harmless Xplosion AllstarsI understand that all fees are non-refundable under any circumstancesBy signing, I confirm that I have read, understand, and agree to the terms stated above.
Media Release Permission StatementBy signing this form, I grant Xplosion Allstars permission to photograph and video my athlete for promotional and advertising purposes, including but not limited to use on social media, websites, printed materials, and other marketing platforms.
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