Jr. Cheer Registration - Formstack

Number of Children*

Child's Name*

First Name

Last Name

Child's Date of Birth*

Second Child's Name*

First Name

Last Name

Second Child's Date of Birth*

Third Child's Name*

First Name

Last Name

Third Child's Date of Birth*

Fourth Child's Name*

First Name

Last Name

Fourth Child's Date of Birth*

Parent/Guardian Name*

First Name

Last Name

Parent/Guardian Email*

Parent/Guardian Preferred Phone Number*

Billing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Uniform Fitting Date*

Amount to be charged* $

Qty*

Credit Card

Credit Card

Are you a Season Pass Member?*

Yes No

Expiration Date