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Youth Cheer Clinic
Youth Cheer Clinic
All fields marked with an asterisk (*) are required.
child
required text field
Child’s Name
*
childs_age
required text field
Child’s Age
*
childs_grade
required text field
Child’s Grade
*
email_address
required email address field
Parent’s email address
*
parents_phone_number
required text field
Parent’s phone number
*
emergency_contact
required text field
Emergency Contact Name
*
emergency_contact_phone_number
required text field
Emergency Contact Phone Number
*
childs_allergies
required textarea field
Child’s Allergies
*
dates_your_child_will_attend
required checkbox field
Date your child will attend:
*
Oct. 20, 2023 (Homecoming)
by_selecting_the_option_below
required radio button field
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.
*
I agree
Link (required)