cheer Registration Form

STL Extreme Cheer Registration
Contact Information
Athletes Name

First NameLast Name
Date of birth

MonthDayYear
Date
Age
Male or female
Address Information
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's Information
Parent's/Guardian's name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Place of work
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Drivers License #
Emergency Contact 1

In the event of an emergency, please contact:
Name

First NameLast Name
Primary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Cheer Registration Fee

$95.00 Quantity

Total

Credit Card

Apple Pay

Cash App Pay