Registration Form (Cheerleading)
Smithfield Packers Youth Sports
Smithfield Packers Youth Sports
Player Contract
Student-Athlete Information
Student-Athlete Name
*
First Name
Last Name
Student-Athlete Nickname
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Parent/Guardian Email
*
example@example.com
Student-Athlete Date Of Birth
*
-
Month
-
Day
Year
Date
Student-Athlete Ethnicity
*
Please Select
African American
Asian
Hispanic
Native American
Pacific Islands
White
Other
Used for grant opportunities
Student-Athlete Status
*
Please Select
New
Returning
Does Student-Athlete have sibling in program
*
Please Select
YES
No
Student-Athlete Preferred Jersey Number (Subject to availability)
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Student Athlete Information
Student-Athlete Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student-Athlete Gender
*
Please Select
Female
Male
Non-Binary
Student-Athlete Sport
*
Please Select
Cheer [06U): $125.00 (Plus Uniform Fees)
Cheer [08U): $125.00 (Plus Uniform Fees)
Cheer [10U): $125.00 (Plus Uniform Fees)
Cheer [12U): $125.00 (Plus Uniform Fees)
Cheer [14U): $125.00 (Plus Uniform Fees)
Student-Athlete School
*
Please Select
Carrollton Elementary School
Carrsville Elementary School
Hardy Elementary School
Isle of Wight Academy
Georgie Tyler Middle School
Smithfield Middle School
Smithfield High School
Westside Elementary School
Windsor Elementary School
Windsor High School
Other
Season Cutoff (Used For Team Assignments)
-
Month
-
Day
Year
Date
Student-Athlete School (If Other)
Sport Fee
Age For Season
Team Assignment (Ages 5-6)
Team Assignment (Ages 7-8)
Team Assignment (Ages 9-10)
Team Assignment (Ages 11-12)
Team Assignment (Ages 13-14)
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Primary Parent/Guardian Information
Parent/Guardian Relationship To Athlete
*
Please Select
Parent
Grandparent
Guardian
Friend
Other
Parent/Guardian Address (If Different From Student-Athlete)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Waivers
Waiver Fees
Concessions Waiver Fee (+ $25.00)
*
Yes. I will be paying the concessions waiver fee ($25.00) to be exempted from working a shift in the concessions tent during home games. I understand that if I choose to select this option, registration will not be considered complete until paid.
No. I will be scheduling a concessions shift with the Concessions Team.
Concessions Waiver Fee
Fundraising Waiver Fee (+ $50.00)
*
Yes. I will be paying the fundraising waiver fee ($50.00) to be exempted from fundraisers. I understand that if I choose to select this option, registration will not be considered complete until paid.
No. I will participate in fundraising activities.
Fundraising Waiver Fee
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Refunds
Refund Policy
Refund Policy (Updated 2/11/2024)
I understand that any requests for refunds must be submitted in writing to the Treasurer (treasurer@smithfieldpackers.org) to include the means by which you would like your refund processed (CashApp, Check, Venmo) as well as the username/address to complete said request. I understand that refunds will not be given after the start of the season as program funds are committed prior to the start of practices to ensure all needed equipment is available for our student-athletes.
Refund Policy Acknowledgement
*
Yes
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Wait List
Wait List Policy
Wait List Policy (Updated 2/11/2024)
I understand that if the level of play I am signing up for indicates 'WAIT LIST' in the above field: 1. There isn't a spot on roster, at present, for my child, and that the wait list is first come, first serve. 2. That I will be invoiced, as a registrant, and my fees will be refunded in full should no spot be available be available.
Wait Policy Acknowledgement
*
Yes
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Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Relationship To Athlete
*
Please Select
Parent
Grandparent
Guardian
Friend
Other
Emergency Contact Phone Number
*
Please enter a valid phone number.
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Next
Parental/Guardian Permission and Waiver
I have read and agree to the Parent/Guardian Permission and Waiver Form
*
Yes
No
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Photo Release
I have read and agree to the Photo Release Form
*
Yes
No
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Equipment Agreement
I have read and agree to the Equipment Agreement
*
Yes
No
Submit
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