Mid Season Open Week!
Thank you for your interest in RLC Rockets!
Name
*
First Name
Last Name
Age
*
As of the 31st August 2020
DOB
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Contact Phone Number (Parent/Guardian's if under 18)
*
E-mail (Parent/Guardian's if under 18)
*
Parent/Guardian Name (if under 18)
*
First Name
Last Name
Do you currently cheer, if so, who for and what level(s)?
*
Please confirm which date you are planning to attend:
Tuesday 10th March: 6.15pm - 7.45pm (ages 13-16yrs)
Wednesday 11th March: 6.30pm - 8pm (ages 9-12yrs)
Wednesday 11th March: 8pm - 10pm (ages 17+)
Thursday 12th March: 4pm - 5pm (ages 3-5 yrs)
Thursday 12th March: 5pm - 6.30pm (ages 6-8yrs)
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Are there any medical issues or existing injuries that we need to be aware of?
*
Please confirm that you have answered this form to the best of your ability without withholding any important information.
*
Yes
Signature
Register
Should be Empty: