Cheerleading Registration Form Template

Extreme Athletics 2020-2021 Registration
Season 20
A Unique Start for Season 20
With the isolation restrictions starting to loosen here in NS we wanted to provide you all with our 4 phased plan on how we will be starting Season 20. The dates of these phases will all be determined on what the NS government allows so we have not included any dates. We want you to know that safety will be the number 1 priority when we open. We will be following strict guidelines for cleaning, entry/exit to the building, keeping 6 feet distance, drop off/pick up, attendance, etc.
We believe the gym and our sport are important to a healthy lifestyle for the athletes. Although social distancing will be a part of the first few phases, this will allow the coaches to really focus on important skills/progressions that sometimes we may not get as much attention - examples: jumps, motions, strength, flexibility, etc. Training these aspects of the sport for the first few months of our season will really help the athletes excel and make putting a routine together even easier. Going back to these basics is a positive opportunity for everyone.
WAIVER INFORMATION
I'm / (my child is) interested in cheering at Extreme Athletics. I/We understand I/We will be required to sign a code of contact contract as well as a safety waiver before the beginning of the season. I/We promise to abide by the rules and regulations set forth by Extreme Athletics. I/We promise to cooperate and follow the instructions of the cheerleading coach.
I/We agree with the above*
YesNo
APPLICANT INFORMATION
Future/ Returning Extreme Cheerleader
Full Name:*
First NameLast Name
Date of Birth:*
MonthDayYear
Returning Athlete*
Health Card #*
Health Card Expiry*
MonthDayYear
Allergies/Disabilities/Special Needs/Medications
Leave Blank if None
Family Doctor
Please list name and phone #
Health Insurance
Please list plan provider and policy #
Address:*
Address
Street Address Line 2
City Province
Postal Code
Primary Phone:*
Area CodePhone Number
Athlete Photo
Browse Files
Upload a current photo (headshot preferred)Cancelof
PARENT/GUARDIAN
If you are registering as an adult athlete, it is not required to fill out form below. Parents who register on behalf of their adult children, please fill out below. For minors, it is mandatory to have at least one parent/guardian contact.
Parent/Guardian 1:
First NameLast Name
Parent/Guardian 2
First NameLast Name
Primary Phone:
Area CodePhone Number
Alternative Phone:
Area CodePhone Number
E-mail:
ATHLETE HISTORY
Filling out the information below will enable the coaching staff to place athletes on our preliminary team roster.
Previous cheer experience*
Yes, I am a returning athleteYes, but with another programNo
Highest level competed*
1234.24567Other
Previous dance or gymnastics experience (survey for athletes new to cheer)
Yes, I been a member of a dance programYes, I have been a member of a gymnastics programYes, I have been a member of both a dance & gymnastics programNo
STUNTING experience (position on main team)
BaseMain BaseBack SpotFlyerNone
Additional Stunting Experience (Elaborate below)
Tumbling experience (Elaborate below)*
Favorite pass, skills you had looking to regain, most difficult tumbling skill in your arsenal etc.
Select all that apply below:
I am interested in travellingI am interested in competing on two teamsI am interested in applying to be a junior coachI would like more information on prep cheer options
Comments or Questions
Do you have a sibling(s) or additional children that will be registering as well? If so please indicate their name and age below.
Should be Empty:

Extreme Athletics 2020-2021 Registration

WAIVER INFORMATION

APPLICANT INFORMATION

PARENT/GUARDIAN

ATHLETE HISTORY