MURRAY STATE UNIVERSITY CHEERLEADING APPLICATION ...

MURRAY STATE UNIVERSITY CHEERLEADING APPLICATION (Please print and compete ALL sections)

NAME_________________________________________

M NUMBER_______________________

ADDRESS______________________________________

BIRTHDATE_______________________

CITY___________________________

STATE__________

CELL PHONE_______________________

E-MAIL ADDRESS_______________________________

FALL 2014 CLASS RANK (circle): FRESHMAN

SOPHOMORE

JUNIOR

ZIP CODE__________________

SENIOR

CURRENT GPA_____________ EXTRACURRICULAR ACTIVITIES___________________________________________________________ _____________________________________________________________________________________ HOW MANY YEARS OF CHEER EXPERIENCE DO YOU HAVE?____________________________________ HOW MANY YEARS OF TUMBLING EXPERIENCE DO YOU HAVE?_________________________________ LIST ANY PRIOR INJURIES: _______________________________________________________________ LIST ANY MEDICATIONS THAT YOU’RE CURRENTLY TAKING: ___________________________________ CURRENT POSITION (CIRCLE): FLYER

SIDE BASE

MAIN BASE

BACKSPOT

PLANNED CLINIC TO ATTEND (CIRCLE): FRIDAY, APRIL 25, 2014 OR 6:00 pm-8:00 pm (CT)

SUNDAY, APRIL 27, 2014 12:00 pm-2:00 pm (CT)

HEIGHT_________________

WEIGHT______________

SHOE SIZE_________________

T-SHIRT SIZE_____________

SHORT SIZE___________

I certify the above information is true. I understand that if this information is incorrect or incomplete I will be excluded from the tryout process.

YOUR SIGNATURE_______________________________________

DATE____________________

PARENT SIGNATURE (if you are under 18) ____________________________________________ COMPLETE AND RETURN BY APRIL 18, 2014 APPLICATIONS SHOULD BE MAILED TO: MSU CHEER SQUAD, ATTN: BRITTANY WALLS, 217 STEWART STADIUM, MURRAY, KY 42071 **PLEASE INCLUDE PHOTO OF YOURSELF AND $20 REGISTRATION FEE ALONG WITH YOUR APPLICATION**