2018 Ragin' Cajuns Cheerleading College Prep Clinics
2018 Ragin’ Cajuns Cheerleading College Prep Clinics E.K. Long Gym 500 E. St. Mary Blvd.
February 18 March 18
1:00 p.m. – 4:00 p.m. 1:00 p.m. – 4:00 p.m.
(Check in begins at 12:30 p.m.) (Check in begins at 12:30 p.m.)
Please check the clinic you are registering to attend.
Open to high school sophomores, juniors, seniors & college students The clinic will focus on co-ed stunting, covering the basics and advanced skills, as well as proper technique. Wear proper attire, athletic shorts, t-shirt and tennis shoes. Be sure to bring your own bottle of water/sports drink. $45 single clinic $80 two clinics (must receive registration in advance to receive discount) $10 per clinic for current UL students with Cajun Card
(Checks Only, payable to UL Lafayette Foundation, write SPIRIT SQUADS in the memo) Name: __________________________________________ Birthdate: _____________ Age: ______ Email: ________________________________________________ Cell Phone: _________________ HS Graduation year: ________ Attending UL in Fall 2017:
YES
NO
UNDECIDED
Cheer experience: _____________________________________________________________ Tumbling experience: ____________________________________________________________
Please be sure to include the following when submitting registration: *Completed registration form *Signed waiver (if under 18 parents signature is required NO EXCEPTIONS) *Appropriate fee *Copy of health insurance card (front & back)
U.S. Postal Service use this address RAGIN’ CAJUNS SPIRIT SQAUDS P.O. Box 43970 Lafayette, Louisiana 70504
Fedex, UPS or to deliver in person use this address RAGIN’ CAJUNS SPIRIT SQAUDS (located in Student Union) 620 McKinley Street Room 157 Lafayette, Louisiana 70503
Please contact our office if you have any questions. [email protected] 337-482-5108
2018 Ragin’ Cajuns Cheerleading College Prep Clinics STATEMENT OF UNDERSTANDING WAIVER The undersigned is aware of and acknowledges the risks associated with participation in cheerleading activities, including but not without limitation, the risk of catastrophic injury, paralysis and even death. Nevertheless, it is the undersigned’s desire to participate in cheerleading at UL Lafayette. The undersigned assumes all risk of injury associated with said participation and specifically agrees to indemnify and hold free and harmless the University of Louisiana at Lafayette, its agents and employees, including without limitation the Ragin’ Cajun Cheerleaders, coaches, staff, spirit coordinator and all other members of the department of athletics staff, from any and all claims or causes of action arising out of his/her participation in cheerleading activities at UL Lafayette, no matter what the cause. The undersigned further acknowledges that he/she is and certifies that he/she is at least 18 years of age. Signature: ______________________________________________________________ Date: ___________________ If under 18, this form MUST be signed by a parent or legal guardian prior to participation, NO EXCEPTIONS. Signature: ______________________________________________________________ Date: ___________________
February 18 March 18
1:00 p.m. – 4:00 p.m. 1:00 p.m. – 4:00 p.m.
(Check in begins at 12:30 p.m.) (Check in begins at 12:30 p.m.)
Please check the clinic you are registering to attend.
Open to high school sophomores, juniors, seniors & college students The clinic will focus on co-ed stunting, covering the basics and advanced skills, as well as proper technique. Wear proper attire, athletic shorts, t-shirt and tennis shoes. Be sure to bring your own bottle of water/sports drink. $45 single clinic $80 two clinics (must receive registration in advance to receive discount) $10 per clinic for current UL students with Cajun Card
(Checks Only, payable to UL Lafayette Foundation, write SPIRIT SQUADS in the memo) Name: __________________________________________ Birthdate: _____________ Age: ______ Email: ________________________________________________ Cell Phone: _________________ HS Graduation year: ________ Attending UL in Fall 2017:
YES
NO
UNDECIDED
Cheer experience: _____________________________________________________________ Tumbling experience: ____________________________________________________________
Please be sure to include the following when submitting registration: *Completed registration form *Signed waiver (if under 18 parents signature is required NO EXCEPTIONS) *Appropriate fee *Copy of health insurance card (front & back)
U.S. Postal Service use this address RAGIN’ CAJUNS SPIRIT SQAUDS P.O. Box 43970 Lafayette, Louisiana 70504
Fedex, UPS or to deliver in person use this address RAGIN’ CAJUNS SPIRIT SQAUDS (located in Student Union) 620 McKinley Street Room 157 Lafayette, Louisiana 70503
Please contact our office if you have any questions. [email protected] 337-482-5108
2018 Ragin’ Cajuns Cheerleading College Prep Clinics STATEMENT OF UNDERSTANDING WAIVER The undersigned is aware of and acknowledges the risks associated with participation in cheerleading activities, including but not without limitation, the risk of catastrophic injury, paralysis and even death. Nevertheless, it is the undersigned’s desire to participate in cheerleading at UL Lafayette. The undersigned assumes all risk of injury associated with said participation and specifically agrees to indemnify and hold free and harmless the University of Louisiana at Lafayette, its agents and employees, including without limitation the Ragin’ Cajun Cheerleaders, coaches, staff, spirit coordinator and all other members of the department of athletics staff, from any and all claims or causes of action arising out of his/her participation in cheerleading activities at UL Lafayette, no matter what the cause. The undersigned further acknowledges that he/she is and certifies that he/she is at least 18 years of age. Signature: ______________________________________________________________ Date: ___________________ If under 18, this form MUST be signed by a parent or legal guardian prior to participation, NO EXCEPTIONS. Signature: ______________________________________________________________ Date: ___________________
