Basketball Camp Signup

Cheer Camp Signup

SRHA Cheer Summer Camp
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Student Full Name

First NameLast Name
Student Age
Student Grade (enter grade for fall 2026)
By signing below, the parent/guardian understands the risks of participation in cheer activities, releases the organizers, coaches, and facility from liability for injuries except in cases of gross negligence, and confirms that the child is physically fit to participate.
Do you agree to the Liability Waiver Agreement?
Parent/Guardian Signature
Signature Date

MonthDayYear
Date
Emergency Contact Name

First NameLast Name
Relationship to Student
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Known Allergies
Current Medications
Relevant Medical Conditions
Primary Physician Name
Primary Physician Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent Signature
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Camp Session
Should be Empty:

Cheer Camp Signup