Cheerleading Registration Form

INFORMATION
Full Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone:*
Birth Date:*

MonthDayYear
Gender:*
T-Shirt Size:
Sport*

FootballCheerleading
School attending in 2025:
Grade entering in 2025:
I authorize the Buffalo Yeti's to use myself or my child's image and/or likeness in official media, including: Our website, promo material, newsletters and related media.*

YesNo
SELF/PARENT/GUARDIAN #1
Full Name:*

First NameLast Name
E-mail:
example@example.com
Home Phone:*
Cell Phone:
Can you accept text messages?
PARENT/GUARDIAN #2
Full Name:

First NameLast Name
E-mail:
example@example.com
Home Phone:
Cell Phone:
Can you accept text messages?
EMERGENCY CONTACT INFORMATION
Full Name:*

First NameLast Name
Relationship to Player:
Home Phone:*
Cell Phone:
WAIVER INFORMATION
I hereby grant permission to allow my Myself/Child to participate in activities (i.e. football, cheerleading,) as sponsored by the Collingswood Panthers organization.

Furthermore, I hereby release the Buffalo Yeti's, it’s officers, agents, and coaches from any legal or financial responsibility resulting from actions of, or injury to my child while engaged in any or all of these sponsored activities (i.e. practices, games, competitions). It is my understanding that every registered participant will be covered by accident insurance.

I also certify that my Myself/child has NO HEALTH OR PHYSICAL IMPAIRMENTS which will hamper his/her ability to perform as a player/cheerleader or cause his/her participation to be unsafe to themselves or other participants. If there are any health/physical problems the Buffalo Yeti’s should be aware of please indicate below:
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INFORMATION

SELF/PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION