Youth Cheer Clinic

All fields marked with an asterisk (*) are required.

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Child’s Name*

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Child’s Age*

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Child’s Grade*

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Parent’s email address*

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Parent’s phone number*

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Emergency Contact Name*

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Emergency Contact Phone Number*

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Child’s Allergies*

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Date your child will attend:*

Oct. 20, 2023 (Homecoming)

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By selecting the option below, you are indicating you are aware of the $30 cost associated with the clinic. Payment can be processed using the Pay Now option on the main clinic page.*

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