Tupelo's Premier Cheerleading Training Facility
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Trying out for cheerleader at your school?
(INformational Flyer with dates)
Tryout CLinic Registration. Please fill out the form below. Parents, by paying online and registering Your cheerleader you acknowledge you have read and digitally sign
this waiver
. If you do not, please do not proceed with payment.
Advance payment is $25. Payment the day of clinic is $30. Payment options are at bottom of the form. After you complete the form, please return to the page and select a payment option.
PLease note that registration is not complete until payment is received. Thanks.
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Indicates required field
PARENT'S NAME: By typing my name here, I am digitally signing the waiver above and am acknowledging that I have read it in its entirety.
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First
Last
Cheerleader's Name
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First
Last
Date of Birth
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Phone Number
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Emergency Contact Name
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First
Last
Emergency Contact Phone Number
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School Attending
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Grade
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How did you hear about our clinic? List any previous injuries from last 2 years. Do you have any medical issues we need to be aware of?
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Select One
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January 25th 8AM-12PM (TCPS grades 1-5)
January 25th 1PM-5PM (TCPS grades 6-12)
February 15th 8AM-12PM
February 15th 1PM-5PM
February 22nd 8AM-12PM
February 22nd 1PM-5PM
Submit
$25 Advance Payment -Click this button to pay in advance before the day of the clinic.
$30 Tryout Clinic Payment -Click this button to pay on the day of the clinic.