DJFL CHEER REGISTRATION – 2017

DJFL CHEER REGISTRATION – 2017 Cheerleader Registration Fee and Uniform Rentals = (Cash or Check) $ 65.00 Cheerleader Registration Fee and Uniform Rentals = (Credit Card) $ 70.00 Includes:  

Rental of cheer shell and skirt to be returned to league. Cheer under spanx and pompoms.

Cheerleader Must Provide Athletic Shoes, Socks, and Other Cheer Accessories. CHEERLEADER NAME: _____________________________________________________________________________________ LAST FIRST MIDDLE _____________________________________________________________________________________ ADDRESS DATE OF BIRTH _______________GRADE ATTENDING THIS FALL ________________________ PARENTS/GUARDIANS: FATHERS NAME _____________________________________________________________________ FATHERS PHONE #(H) ________________________________________________________________ FATHERS CELL #(C) __________________________________________________________________ FATHERS EMAIL ____________________________________________________________________ MOTHERS NAME_____________________________________________________________________ MOTHERS PHONE #(H)________________________________________________________________ MOTHERS CELL #(C) _________________________________________________________________ MOTHERS EMAIL ___________________________________________________________________ WHO DOES THE CHEERLEADER LIVE WITH __________________________________________________ EMERGENCY CONTACT: NAME _______________________ PHONE # _______________________ NAME _______________________ PHONE #_______________________ SPECIAL MEDICAL CONDITIONS ______________________________________________________ NUMBER OF YEARS PARTICIPATION__________ NOTICE: The Danville Junior Football League does NOT carry insurance on the individual participants .Medical insurance will be the responsibility of each participant’s parents. I/We accept responsibility for the condition of any/all uniforms handed out to my child. I/We agree to turn in all uniforms on the designated turn in date or pay a late fee of $25.00. I give permission for my child to participate in all DJFL activities including the Homecoming Parade and assume all risks and hazards incidental to such participation, including transportation to and from activities. I/We do hereby waive, release, absolve, indemnify and agree to hold harmless the DJFL, the organizers, board members, supervisors, coaches, participants and the persons transporting my child, including Danville School Corporation. I/We understand that cheerleading is a sport and certain injuries can arise in the course of the game or related league activities that are beyond the control of the league. I/We understand that by signing this form, we the parents of the above named participant assumes all risk that are inherent to the sport of cheerleading.

PARENTS/GUARDIANS SIGNATURE ___________________________________________________________ DATE _________________

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DJFL CHEER REGISTRATION – 2017 CHEERLEADER NAME: _____________________________________________________________________________________________ LAST FIRST MIDDLE

GRADE ATTENDING THIS FALL _______________________

_____________________________________________________________________________________________

THIS SECTION IS FOR LEAGUE USE ONLY: CAMP: YES - NO SHELL SIZE:

SKIRT SIZE:

UNDER SPANX SIZE:

PAYMENT:

SFAK #: ______ Check #: ______

Amount : $ ________

Credit Card #:_______________________ Expiration Date: ___________ Amount $____________ _____________________________________________________________________________________________

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