BLUE DYNAMITE ELITE
Please fill out your details to join our cheerleading evaluations!
Participant's Full Name
*
First Name
Last Name
Participant's Date of Birth
*
-
Month
-
Day
Year
Date
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Full Name (if participant is under 18)
First Name
Last Name
Parent or Guardian contact (if under 18yrs old)
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have previous cheerleading experience?
*
No
Yes
If yes to the above question, what level?
Prep/Novice
Level 1
Level 2
Level 3
Please list any allergies or medical conditions we should be aware of
I am aware that cheerleading is a dangerous sport and give my full permission for myself/my child to participate in the cheerleading evaluations, undertaking; stunting, tumbling, tosses and dance at their own risk, guided by qualified coaches!
*
I AGREE
Register
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