Rex Raiders 8u Cheerleader Info Form
Cheerleader's Name
*
First Name
Last Name
Date of Birth
*
/
Month
/
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Grade
*
School
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Parent/Guardian's Name 1
*
First Name
Last Name
Email
*
example@example.com
Parent/Guardian's Name 2
First Name
Last Name
Parent/Guardian 2 Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
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Does your child have any medical conditions that the coach should be aware of?
Yes
No
Please Explain
*
Other than environmental, does you child have any allergies?
*
Yes
No
List your child's allergies.
*
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Sizes
Please list your child's sizes below
Pants/shorts
*
Shirt
*
Shoes
*
Park Issued Uniform Top
*
Park Issued Uniform Skirt
*
Park Issued Bloomers
*
Park Issued Crop Top
*
Submit
Should be Empty: