Hamilton High School Cheer Program

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2018-2019 Information Sheet

Cheerleader's Information

* First Name:

* Last Name:

* Address:

* City:

* State:

* Zip Code:

* Cheerleader's Cell Number (no spaces or dashes / xxxxxxxxxx):

* Birthdate:

* Email:

* Grade start of 2017/2018 school year:

PARENT/GUARDIAN #1

* First Name:

* Last Name:

* Email:

* Primary Contact Telephone Type:

* Primary Telephone Number (no spaces or dashes / xxxxxxxxxx):

Relationship to cheerleader:

PARENT/GUARDIAN #2

First Name:

Last Name:

Email:

Primary Contact Telephone Type:

Primary Telephone Number (no spaces or dashes / xxxxxxxxxx):

Relationship to cheerleader:

MEDICAL/EMERGENCY CONTACT INFORMATION - (must be over 21 and not the parent)

* Emergency Contact First Name:

* Emergency Contact Last Name:

* Primary Telephone Number (no spaces or dashes / xxxxxxxxxx):

* Relationship to Cheerleader:

WAIVER INFORMATION

Hamilton High School Cheer herein agrees to use this Confidential Information solely for the purpose and in connection with the current relationship between both parties and not for any purpose other than which is stipulated in this document. I/we indemnify and hold Hamilton High School (cheer coaches, cheerleaders, and volunteers) free and harmless from any and all claims of liability, loss, damage, or expenses, including any medical costs arising. This Waiver of Liability and Hold Harmless Agreement will be construed in accordance with Arizona law.

I/we agree with the above *

* indicates required fields

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2018-2019 Information Sheet