MMPP Nexus Athlete Intake Form

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Full Name* This field is required.
First Name
Middle Name
Last Name
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Preferred Name
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Date of Birth
Date
Month
Day
Year
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Grade
5
Graduation Year
6
City / State
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Parent / Guardian Name
First Name
Last Name
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Parent / Guardian Contact
Please enter a valid phone number.
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Athlete Email
example@example.com
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Parent / Guardian Email
example@example.com
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Short Bio* This field is required.
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What makes you unique?* This field is required.
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Goals (cheer/dance + academic)* This field is required.
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Primary Sport* This field is required.
Cheer
Dance
Both
Other
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Position
Please Select
Please Select
Flyer
Base
Backspot
All-around
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Stunt Level
Please Select
Please Select
No Experience - No stunt experience or just starting. Limited exposure to flying, basing, or backspotting.Level 1
Level 1 - Thigh stands, prep-level stunts (shoulder height), basic extensions (assisted), straight ride cradles.
Level 2 - Clean extensions, basic liberties (prep or extended), walk-ins, controlled cradle dismounts, intro tosses.
Level 3 - Extended liberties, single-leg stunts, prep-level tick-tocks, sponge tosses, basic inversions.
Level 4 - Extended single-leg stunts with transitions, extended tick-tocks, release transitions, inversions to extended positions, basket tosses (toe touch, pike).
Level 5 - Full-up stunts, advanced inversions, high-level release moves, multi-skill basket tosses, elite stunt sequences.
Level 6 - Collegiate-level stunting, rewinds, double-downs, complex release transitions, elite co-ed and pyramid skills.
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Tumbling Skills
BHS
Tuck
Layout
Full
Standing
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Running
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Standing
Running
BHS
Row 0, Column 0
Tuck
Row 0, Column 1
Layout
Row 0, Column 2
Full
Row 0, Column 3
BHS
Row 1, Column 0
Tuck
Row 1, Column 1
Layout
Row 1, Column 2
Full
Row 1, Column 3
1 of 2
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Dance Styleif applicable
Please Select
Please Select
Majorette
Hip-Hop
Contemporary
Jazz
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Skill Level
Please Select
Please Select
No Experience
All Star Level 1
All Star Level 2
All Star Level 3
All Star Level 4
All Star Level 5
All Star Level 6
High School Junior Varsity
High School Varsity
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Leadership Roles
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Life Skill Badges
Communication
Discipline
Time Management
Team Leadership
Accountability
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Current Team / School* This field is required.
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Coach Name
First Name
Last Name
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Coach Contact
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Years of Experience
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GPA
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Intended Major
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Academic Interests
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Honors / Awards
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Titles / Awards
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Camps / Combines Attended
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Certifications
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Interested Schools
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Preferred Division
D1
D2
NAIA
HBCU focus
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Location Preference
In-state
Out-of-state
No preference
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Instagram Link
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TikTok Link
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YouTube Link
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Hudl / Video Link
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Upload Media Files
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
Upload a File
Cancelof
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Media Link 1
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Media Link 2
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What are you currently working on?
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What skills are you trying to improve?
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What feedback have you received recently?
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Parent consent* This field is required.I, as the parent or legal guardian of the athlete listed in this form, give permission for my child to participate in the MMPP Media Academy™ Athlete Profile and Nexus platform. I understand that this profile is used to support athlete development, recruiting visibility, and program matching opportunities within cheer, dance, and related activities. I acknowledge and agree to the following: The information submitted (including athlete details, academic information, and media) is accurate to the best of my knowledge. My child may upload photos, videos, and other content to showcase their skills, training, and progress. All content is subject to moderation to ensure safety and appropriateness. MMPP Media Academy™ may use submitted information and media for internal evaluation, athlete development, and sharing with verified coaches or programs, based on selected visibility settings. Personal contact information will be protected and not publicly shared without consent. I understand that participation is voluntary and that I may request updates or removal of my child’s profile at any time. By signing below, I confirm that I have read, understood, and agree to these terms.
I agree
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Media release* This field is required.I, as the parent or legal guardian of the athlete listed in this form, grant permission to MMPP Media Academy™ and MMPP Media to capture, use, and share my child’s name, image, video, and likeness for purposes related to athlete development, recruiting visibility, education, and promotion. I understand and agree that: Photos, videos, and media submitted or captured may be used in digital platforms, social media, promotional materials, educational content, and recruiting-related opportunities. Media may be shared with verified coaches, programs, and partners for evaluation and exposure, based on selected visibility settings. All content will be reviewed and moderated to ensure it aligns with safety and community standards. No personal contact information (such as phone number, email, or home address) will be publicly displayed without explicit consent. This authorization is granted without expectation of compensation. I understand that participation is voluntary and that I may request removal of specific media or my child’s profile at any time by submitting a written request. By signing below, I confirm that I have read, understand, and grant permission for the use of my child’s media as outlined above.
I agree
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Agreement to guidelines* This field is required.To maintain a safe, respectful, and high-quality environment for all participants, athletes and families agree to the following standards when creating and managing their profile: 1. Accuracy & Honesty All information submitted must be truthful and reflect the athlete’s current abilities and experience. Skill levels should be selected based on consistent performance, not attempts. 2. Appropriate Content All uploaded media (videos, photos, captions) must be appropriate, respectful, and relevant to athletic development. Content must not include profanity, inappropriate music, unsafe stunts, or behavior that reflects poorly on the athlete or program. 3. Safety First Athletes should only perform skills they have been properly trained to execute. No unsafe, unsupervised, or reckless skill demonstrations should be submitted. 4. Respect & Representation Athletes represent themselves, their families, and their teams. Communication, language, and presentation should reflect professionalism and respect at all times. 5. Platform Use Profiles are intended for development, recruiting visibility, and educational purposes only. Misuse of the platform, including false representation or inappropriate interaction, may result in removal. 6. Media & Visibility All content is subject to review and moderation. Visibility settings (public, coaches only, private) must be respected and used appropriately. 7. Accountability Athletes and parents are responsible for maintaining and updating accurate information. MMPP Media Academy™ reserves the right to remove or restrict content that does not meet these standards. Agreement to Guidelines By checking below, I confirm that: I have read and understand the MMPP Media Academy™ Athlete Guidelines. I agree to follow all expectations outlined above. I understand that failure to comply may result in content removal or restricted access to the platform.
I agree
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