South Alabama Cheerleading Stunt Clinic Registration

 

South Alabama Cheerleading Stunt Clinic Registration – 2017 *All athletes must also bring the release from liability waiver signed by parents or legal guardian in order to participate as well as the completed proof of insurance form. *There is a $45.00 clinic fee due prior to participation. Contact Coach Bre to secure a spot: [email protected] * Registration Payable to University of South Alabama – Cheer Clinic Dates: Feb 18th, March 4th, March 25th, April 1st

Clinic Date:

Position(base/top, all girl, coed):

Full Name:

Male or Female

Age:

Birthdate:

Present Address: City:

State:

Home Phone Number:

Zip Cell:

E-Mail: Parents Address (If different from above): City:

State:

Mother’s Name

Zip Father’s Name

Parents Home Phone Number Mom’s Cell: High School/School Currently Attending: High School Graduation Date:

Dad’s Cell: