EmailMeForm
F'YERCE ELITE ALLSTARS REGISTRATION FORM
My child is interested in cheering with F'yerce Elite Cheer. I/We understand I/We will be required to sign a code of conduct contract, as well as a COVID and Safety waiver before the beginning of the season. I/We promise to abide by the rules and regulations set forth by F'yerce Elite Cheer. I/We promise to cooperate and follow the instructions of the F'yerce Elite coaching staff.
I/We agree with the above statements
Please select
YES
NO
Waiver Statement
Cheerleaders First and Last Name
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Athlete's Date of Birth
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Sport the Athlete is interested in
Please select
Cheer
Hip Hop
Both
New or Returning Athlete
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Please select
New Athlete to F'yerce Elite Allstars
Returning Athlete to F'yerce Elite Allstars
Cheerleader's Skill Level
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1
2
3
4
5
Beginner 1 - 5 Advanced
Guardians / Parent First and Last Name
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Address line 1
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City
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State
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Zip Code
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Phone
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Email
Emergency Contact Name
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Relationship
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Please select
Mother
Father
Grandparent
Aunt
Uncle
Sibling
Other
Do you have health insurance ?
*
Please select
YES
NO
Does your child have any allergies, chronic illness, or medical conditions that would limit high level activity?
*
Please select
YES
NO
Parental Permission For Emergency Treatment In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to take my child to: I give consent for the facility to secure any and all necessary emergency medical care for my child.
Name of Physician / Emergency Medical Care Facility
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Although the safety is the primary concern for each athlete, I understand the that injuries and/or death may result from our willing participation with competitive cheer with F'yerce Elite Cheer. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against F'yerce Elite Cheer, it's agents, gym owner and it's participants.
I have read and agree to the above conditions
*
Please select
YES
NO
Comments / Additional Information you believe may be important relating to the Child's Participation
Electronic Signature
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Todays Date
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