REGISTRA TIO N FORM
R E G ISTRA TIO N FOR M “Lil’ Tiger
Clinic”
C h e e r/Dance
R e g i s t r a t i o n D e a d l i n e – September 22 , 2 0 1 7 Questions? Email any of the 4 coaches [email protected] ▪ [email protected] [email protected] ▪ [email protected]
Participant’s Name
Grade Level
“Lil Tiger Cheer Clinic” Mom’s & Dad’s Name
or Guardian name
Mailing Address
City, State, Zip
Cell Phone/Home Phone
Email Address
SHIRT SIZE (Circle one): YS, YM, YL, AS, AM, AL, AXL
I hereby authorize the Festus High School Varsity Coaches to act for me according to their best judgment in any emergency requiring medical attention, and I hereby waive and release Festus High School from any liability for any injuries or illnesses incurred by my child while attending camp at Festus Elementary and Festus High School gym.
Signature of Parent or Guardian
When: Tuesday – Thursday, October 3rd, 4th, & 5th Who: Ages 4th – 8th Grade Clinic: 3:30 – 5:30pm Where? Clinic held at Festus Intermediate Gym; Performance at Festus High School Football Stadium
Performance Day: Arrive to the JV Football game with your lil’ tiger on Monday, Oct 9th at 6:30pm Cost: $20 per participant (checks payable to FHS Cheer Boosters) Registration deadline: September 22, 2017 Late registrations are not guaranteed a t-shirt
Personal Insurance Company Name
Total amount enclosed $
Policy Number
Check # Emergency Contact Name & Number
Cash
MEDIA RELEASE (Circle one):
YES
NO
I authorize photos of my child participating in camp to be used in all Festus High School media. Names will NOT be used with any photos.
Please mail payments with information sheet to: Festus High School Athletic Office Attn: Varsity Cheerleading 501 Westwind Drive Festus, MO 63028
Clinic”
C h e e r/Dance
R e g i s t r a t i o n D e a d l i n e – September 22 , 2 0 1 7 Questions? Email any of the 4 coaches [email protected] ▪ [email protected] [email protected] ▪ [email protected]
Participant’s Name
Grade Level
“Lil Tiger Cheer Clinic” Mom’s & Dad’s Name
or Guardian name
Mailing Address
City, State, Zip
Cell Phone/Home Phone
Email Address
SHIRT SIZE (Circle one): YS, YM, YL, AS, AM, AL, AXL
I hereby authorize the Festus High School Varsity Coaches to act for me according to their best judgment in any emergency requiring medical attention, and I hereby waive and release Festus High School from any liability for any injuries or illnesses incurred by my child while attending camp at Festus Elementary and Festus High School gym.
Signature of Parent or Guardian
When: Tuesday – Thursday, October 3rd, 4th, & 5th Who: Ages 4th – 8th Grade Clinic: 3:30 – 5:30pm Where? Clinic held at Festus Intermediate Gym; Performance at Festus High School Football Stadium
Performance Day: Arrive to the JV Football game with your lil’ tiger on Monday, Oct 9th at 6:30pm Cost: $20 per participant (checks payable to FHS Cheer Boosters) Registration deadline: September 22, 2017 Late registrations are not guaranteed a t-shirt
Personal Insurance Company Name
Total amount enclosed $
Policy Number
Check # Emergency Contact Name & Number
Cash
MEDIA RELEASE (Circle one):
YES
NO
I authorize photos of my child participating in camp to be used in all Festus High School media. Names will NOT be used with any photos.
Please mail payments with information sheet to: Festus High School Athletic Office Attn: Varsity Cheerleading 501 Westwind Drive Festus, MO 63028
