2017 WNSL Flag Football Cheerleading Registration - AWS

2017  WNSL  Flag  Football  Cheerleading  Registration   Deadline:  August  20th   Cheerleader  Name:_________________________  Parent/Guardian  Name:  ________________________   Cheerleader’s  Gender:  ____________  Cheerleader’s  Date  of  Birth:  _______________________________   Street  Address:  __________________________________  City:    _______________  Zip  Code:  _________   E-­‐Mail  Address:  __________________________________  Phone:  (H)  ____________  (C)  _____________   Grade:  ______Age:  ______  School:  _____________________  Years  of  Cheerleading  Experience:  ______   Coach  Request:  ________________________________________________________________________   Team  Name  and  Grade  for  Which  You  Would  Like  to  Cheer,  if  applicable  (Oak  Hill  4th  Boys,  for  example):   _____________________________________________________________________________________   Other  Special  Requests  (Friends,  Medical  Conditions,  etc.)  _____________________________________   _____________________________________________________________________________________   Volunteer  Information:   I  am  willing  to  volunteer  in  this  league  as  a:  Coach  ______  Assistant  Coach  _______  Team  Parent  ______   Contact  information  if  different  from  above  (Name,  E-­‐Mail,  Phone):  ______________________________   _____________________________________________________________________________________     Sponsorship  Information:   I  am  willing  to  sponsor  the  league  with  a  contribution  of:  $10  ____  $20  ____  $30  ____  $40  ____  $50  ___   Agreement:   1. I  hereby  certify  that  my  child  is  in  normal  health  and  capable  of  safe  participation  in  the  WNSL Cheerleading  Program.  I  assume  all  risk  and  hazards  incidental  to  the  conduct  of  this  program.  I  hereby authorize  the  WNSL  to  obtain  medical  treatment  for  my  child  if  the  parent(s)  cannot  be  reached. 2. I  support  the  WNSL  philosophy  based  on  character  development,  participation,  fun,  skill development,  teamwork,  fair  play,  family  involvement  and  growth  in  spirit,  mind  &  body. 3. I  will  read  and  follow  the  WNSL’s  code  of  conduct  online  at  www.wnsl.org 4. I  acknowledge  that  if  I  choose  to  withdraw  my  child  from  the  league  there  will  be  a  $20  processing fee. Signature  of  Parent/Guardian:  _________________________________________      Date:  _____________   If  registering  by  mail,  cost  for  this  league  is  $35   To  complete  your  registration,  please  mail  this  form  along  with  a  check  for  the  amount  listed  above   (plus  sponsorship  if  you  selected  that  option)  to:   WNSL,  P.O.  Box  50710,  Nashville,  TN  37205