Butte Cheer Company Interest Form

Butte Cheer Company Interest Form
Athlete Name

First NameLast Name
Date of birth

MonthDayYear
Date
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Next of Kin / Parent contact number
Please enter a valid phone number.
Parent email / secondary point of contact
example@example.com
I am interested in becoming an athlete in the following...

Half year All Star prep teamFull year All Star prep teamClassesPrivate lessons
For cheerleaders only; my highest competitive experience is at

No experienceLevel 1Level 2Level 3Level 4+
For cheerleading athletes only; my main stunt position is;

Main baseSide baseBackspotFlyerOther
For cheerleaders and gymnasts; please list your high level elite tumbling pass; no experience necessary.
Anything else you wish to share;
Should be Empty: