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Alchemy Cheerleading

Thank you for interest in our classes.
Athlete Name*

First NameLast Name
Athlete date of birth*

DayMonthYear
Home Town*

Street Address

Street Address Line 2

What area do you live? I.E. Horwich, Little Lever, Astley Bridge

Postal / Zip Code
Parent/Guardian Name *

First NameLast Name
Relationship to member*
Mobile Number (Parent/Guardian *

01234567890
Contact E-mail (Parent/Guardian)*
example@example.com
Newsletter*

I agree to receive email communication from Alchemy Cheerleading (this is required to receive class details)
Should be Empty:

Alchemy Cheerleading