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TRYOUT REGISTRATION

STUDENT-ATHLETE INFORMATION

* FIRST NAME:

* MIDDLE NAME:

* LAST NAME:

HOME ADDRESS

* STREET ADDRESS:

* CITY, STATE ZIP:

* CELL PHONE:

HOME PHONE:

* EMAIL ADDRESS (not RTMSD address):

* DATE OF BIRTH:

* GRADE (during next school year):

PARENT/GUARDIAN INFORMATION

PARENT/GUARDIAN #1

* NAME:

* ADDRESS:

ADDRESS (If different):

* CELL PHONE:

* EMAIL ADDRESS:

PARENT/GUARDIAN #2

NAME:

ADDRESS:

ADDRESS (If different):

CELL PHONE:

EMAIL ADDRESS:

EMERGENCY INFORMATION

* EMERGENCY CONTACT NAME:

* EMERGENCY CONTACT CELL PHONE:

RELATIONSHIP:

MEDICAL HISTORY CONCERNS/MEDICATIONS:

CHEERLEADER PROFILE

* HAVE YOU PREVIOUSLY CHEERED?:

IF YES, WHAT TEAM(S)?:

HIGHEST LEVEL OF SKILLS (Please list all for stunts, jumps, tumbling, etc.):

POSITION OF EXPERIENCE:

Base

Back spot

Flyer

* SHIRT SIZE:

* PANT SIZE:

* SHOE SIZE:

To complete your registration, please click blue SUBMIT FORM button, below.
Then on next screen, click CHECKOUT - CLICK HERE TO COMPLETE YOUR REGISTRATION button.

THANK YOU!

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