CHEER TEAM REGISTRATION

REGISTRATION FORM

Please review all answers for accuracy before submitting registration
PRACTICE DAYS:

TUESDAYS

&

THURSDAYS

6:30pm - 8:00pm
All registrations are received and reviewed in a first come, first serve basis. Once all open spots are filled, all additional submissions will be added to our waiting list.
Participant's Information
First Name*
Last Name*
Birth Date*

MonthDayYear
Is your child currently registered in school?*
If Yes, what is their current grade level?*
Home Address *

Street Address

Street Address Line 2

CityState

Postal Code
Parent/Guardian Information 1
Full Name*

First NameLast Name
Home
Mobile*
Work
E-mail*
Address - Same As Child*

YesNo
If your address is different than the childs please fill out the info below. Otherwise move onto the next section.
Parent/Guardian 1 Address

Street Address

Street Address Line 2

CityState

Postal Code
Parent/Guardian Information 2
Full Name

First NameLast Name
Home
Mobile
Work
E-mail
Address - Same As Childs

YesNo
If your address is different than the childs please fill out the info below. Otherwise move onto the next section.
Address

Street Address

Street Address Line 2

CityState

Postal Code
Other Infomation
Does this participant have a sibling that is registered for any other Lifeline program?*

YesNo
If yes, name of sibling and which program?
Is your child immunized?*

YesNo
Does your child have any allergies?*

YesNo
If yes please list, including any food or drug allergies.
Does your child have any medical conditions?
Does your child require any medication? If yes, please list these medications.
Do you authorize us to administer the medications listed above?

YesNo
Please list the people authorized to pick up your child.
What would you like your child to gain from this team?*
Emergency Contact - Other than Parent/Guardian
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Postal Code
Home
Mobile*
Work
Team fees are due every Tuesday by 6pm. You are responsible for weekly fees as long as your child participates in a minimum of 1 practice/activity for that week. No payment is due if your child does not participate in any team activities for the week. If your child misses 3 consecutive participation days, their registration may be voided and they’ll forfeit their spot on the team. Lifeline Youth Sports has a zero tolerance policy related to violence and/or bullying of any kind. if your child is involved in any incidence related to bullying or violence while participating in a LIFELINE activity, it may result in their registration being voided and they will be removed from the team indefinitely. Please sign below to confirm you have agree these terms.*

Clear
DRAW SIGNATURE.
Expected Start Date:*

MonthDayYear

PAYMENT

REGISTRATION FEE$10.00

PAYMENT IS NON-REFUNDABLE

Total $0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Should be Empty:

REGISTRATION FORM

Participant's Information

Parent/Guardian Information 1

Parent/Guardian Information 2

Other Infomation

Emergency Contact - Other than Parent/Guardian

Payment Methods