Cheer and Dance Application Form

Cheer and Dance Application Form

Please complete this application to enroll your child in our cheer and dance programs.
Student Information
Participant’s Full Name

First NameLast Name
Age
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Grade (2026–2027)
T-Shirt/Uniform Size
Parent/Guardian Information
Parent/Guardian Full Name

First NameLast Name
Parent Email
example@example.com
Parent Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Information
Emergency Contact Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Participant
Alternate Emergency Contact (optional)
Program Information
Cheer or Dance Selection
Previous Experience
Preferred Squad/Grade Level (if applicable)
Medical Information
Does your child have any medical conditions?
Any allergies?
Current medications?
Asthma/Inhaler?
Physical limitations or injuries?
Physician Name
Physician Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical Insurance Company (optional)
Child Information
Child's Full Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Gender

Other
Parent/Guardian Contact Details
Parent/Guardian Full Name

First NameLast Name
Relationship to Child
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Medical Information
Does your child have any allergies or medical conditions?
Is your child currently taking any medications?
Emergency Contacts
Emergency Contact Name

First NameLast Name
Relationship to Child
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Previous Cheer/Dance Experience
Has your child participated in cheer or dance before?
If yes, please describe your child's previous cheer or dance experience.
Preferred Program
Consent and Liability Waiver
Media/Photo Release

Cheer and Dance Application Form

Student Information

Parent/Guardian Information

Emergency Information

Program Information

Medical Information

Child Information

Parent/Guardian Contact Details

Medical Information

Emergency Contacts

Previous Cheer/Dance Experience

Preferred Program

Consent and Liability Waiver

Media/Photo Release