JR. LIONS CHEERLEADING

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2025 Registration Form Incoming 5th Grade

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Primary Phone:

* Primary Email:

* Gender:

* Birthdate:

* School:

* Grade in September 2025:

* Unisex Shirt size:

PARENT/GUARDIAN #1

* First Name:

* Last Name:

* Email:

Home Phone:

Work Phone:

* Cell Phone:

PARENT/GUARDIAN #2

* First Name:

* Last Name:

* Email:

Home Phone:

Work Phone:

* Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact (other then parent):

* Phone:

* Relationship to Player:

* Insurance Carrier:

* Policy #:

* Allergies/Disabilities (write "none" if doesn't apply):

OTHER

* Is your child registering for the Nationals Track Team?:

Yes

* Are you opting in for the Game Day team/routine (optional at this age, only required if on Nationals Team)?:

Yes

* Are you opting in to Pine Forest sleepaway camp (optional at this age, only required if on Nationals Team)?:

Yes

Notes/Other:

* I /We GRANT permission for my child(ren)'s photos/images to be used on Jr. Lions Facebook, the BAND app or Website.:

I/we confirm that the above information is correct *

* Are you interested in coaching?:

Yes

* indicates required fields

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2025 Registration Form Incoming 5th Grade