Cheerleading REGISTRATION FORM (2026-2027)

REGISTRATION FORM

(2026 - 2027 After School CHEERLEADING Club - Valid for the whole school year)
There is a one time registration fee of $30.00 (Cash/Venmo/Checks)

(CHECKS made to DSA / VENMO: @dsaSports)
INFORMATION:

Price:

(There's a one time Registration Fee of $30.00)

- August = $50
- September = $80
- October = $80
- November = $65
- December = $65
- January = $80
- February = $80
- March = $65
- April = $80
- May = $80
Days:

WEDSNESDAYS: From 2:30pm to 3:30pm
Choose the days
Student name
Grade
Medical Needs / Allergies - Other Special Needs
Mother's name
Mother's cell #
Mother's email
example@example.com
Father's name
Father's cell #
Father's email
example@example.com
Emergency contact's NAME
Emergency contact's cell #
Additional Persons Authorized to Pick Up:
Additional pick-up name # 1
Additional Persons Authorized to Pick Up:
Additional pick-up name # 2
I,
Print Parent/Guardian's full name
, have read, agreed, printed, and made a copy of this Registration Form as well as the Sports Clinic Program Parent and Student Handbook, including the Parent Contract and Student Code of Excellence; and agree to cooperate with all of the policies contained therein. (All these documents can be found in the DSA Clubs website: www.DSAisFun.com)

* Parents/guardians must understand that this type of program may incur injury. Any and all expenses and medical care will be the responsibility of the parents/guardians. Neither the school nor DSA Sports & Recreation, Inc. will be held liable.
Parent/Guardian Print name
Parent/Guardian Signature
Date

MonthDayYear
Date
Should be Empty:

REGISTRATION FORM

There is a one time registration fee of $30.00 (Cash/Venmo/Checks)