The Collegiate Takeover Registration 🎉🤸♀️
Register now for the cheer clinic and prepare for an exciting experience with college cheerleaders.
Athlete Information
Athlete First Name
*
Athlete Last Name
*
Athlete Age
*
Ages 7-18 only
Grade for 2026–2027 School Year
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Other
Athlete Cheer Experience
*
Please Select
New to cheer/ Beginner
Intermediate
Advanced
School cheerleader
All-star cheerleader
Other
Brief Description of Cheer/Tumbling Experience
Parent/Guardian and Emergency Contact Information
Parent/Guardian First Name
*
Parent/Guardian Last Name
*
Parent/Guardian Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
*
example@example.com
Emergency Contact Name
*
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Health Information
Medical concerns, allergies, injuries, or physical limitations
*
Cleared to participate in physical activity?
*
Yes
No
Referral Information
Which featured college cheerleader or source referred you to this event?
*
Shekinah Perkins
Brianna Dailey
Laila Mapp
Unity Cheer / Unity Spirit Association
Social Media
Friend or Family
Other
If Other, please explain
Payment Information
Payment is required to complete registration. Cash will not be accepted. Please submit payment through PayPal using the link provided.
PayPal Payment Link:
CLICK HERE TO PAY
Registration Fee Selection
*
Late Registration $65
PayPal Name or Email Used for Payment
*
Waiver and Media Permissions
Participation Waiver
*
I acknowledge the risk of injury inherent in athletic participation and give permission for the athlete to participate, releasing Unity Spirit Association, Unity Cheer, staff, coaches, featured college cheerleaders, and volunteers from liability for normal participation risks.
Emergency Medical Permission
*
I authorize emergency medical care if the parent/guardian cannot be reached immediately.
Photo and Video Release
*
Yes — I grant permission for photos and videos of the athlete to be used for marketing, social media, and promotional purposes
No — I do not grant permission for photos or videos to be used for marketing, social media, or promotional purposes
Final Agreements and Signature
Agreement Acknowledgements
*
Cash is not accepted
Registration is not complete until PayPal payment is submitted
Refunds may not be issued for missed attendance
Athletes should wear athletic clothing and cheer shoes or clean tennis shoes
Athletes should bring a labeled water bottle or water bottle
Parent/Guardian Printed Name
*
printed name used in place of signature...
Date
*
-
Month
-
Day
Year
Date
Please type your full name here in place of a signature.
Submit Registration
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