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REGISTRATION FORM
ATHLETE INFORMATION:
*
Indicates required field
Please Select Program
*
Tiny Pre Team
Beginner Tumble Class
Intermediate Tumble Class
Advanced Tumble Class
High School Prep Tumble Class
Competitive Team
Special Olympics Unified Cheer
Athlete's Name
*
First
Last
Athlete's Email
*
Athlete's Phone Number
*
Date of Birth
*
M/F
*
Male
Female
Athlete's Cheer/Tumbling Experience
*
Does the above athlete have any physical or allergic conditions that would affect his/her participation?
*
PARENT INFORMATION:
Mother's Name
*
First
Last
Mother's Email
*
Mother's Phone Number
*
Father's Name
*
First
Last
Father's Email
*
Father's Phone Number
*
EMERGENCY CONTACT:
Emergency Name
*
First
Last
Emergency Phone Number
*
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