First Name

Last Name

Email Address

Phone Number

BirthDay

Interested in: Interested in: 1/2 Year Non Travel Full Year Travel Full Year or Half

Cheered Before Cheered Before Yes No

Main Base Main Base Yes No

Side Base Side Base Yes No

Flyer Flyer Yes No

Back Spot Back Spot Yes No

Were you on a Rec Team? Were you on a Rec Team? Yes No

Rec Team Name

On a high school cheer team? On a high school cheer team? Yes No

Name of High School

Cheered on an All-Star team? Cheered on an All-Star team? Yes No

Name of the All-Star team

Comment

Parent Email (if under 18)

Parent Phone (if under 18)

How did you hear about us? How did you hear about us?Friend of an AthleteSocial MediaSaw at CompetitionTakes classes at CJAOther

Please fill in where you heard about us