2015 White Knoll Youth Football and Cheerleading League
Cheerleading Registration Form
Today’s Date: / Parent/GuardianChild Information
Cheerleader’sLast Name: / Cheerleader’s
First Name: / Cheerleader’s
Middle Name: / Nickname:
Has player ever cheered before?
Explain below: / Do you have another child participating?
Explain below: / Returning cheerleaders: Do you have concerns with your child returning to the same team/coach from last season? Explain below: / Birth date: / Age: / Sex:
/ / /
What team and Where?
Name of child and relationship:
What are your concerns?
Players with legitimate concerns will be placed In a draw and randomly assigned to a team at the end of the draft process.
Address:
[Street] / [City] / [State] / [Zip Code]
Email: / Home phone: / Cell phone:
PLEASE READ CAREFULLY AND INITIAL EACH APPLICABLE LINE
My Child:
Initial: ______Is physically fit to participate.
Initial: ______Has my permission to participate In the White Knoll Youth Football and Cheerleading Program. I will not hold any member or volunteer to the league responsible for any injury that might occur. I realize that there is minimal Insurance coverage for my child provided through the league.
Initial: ______I understand that there are NO REGISTRATION REFUNDS. I also understand that there may be a limit on the number of registrations that can be accepted. Registrations are accepted on a first come, first serve basis. No position will be held without a complete and paid registration.
White Knoll Football and Cheerleading League may take pictures of Its participants and their teams in connection with football games, cheerleading, parades, pep rally and practices. These pictures are sometimes posted on the league website or made available to news sources. By signing below,you acknowledge your consent to the use of pictures of your child for these purposes. Your consent constitutes your waiver of all rights of you and your child under any privacy or publicity laws or regulations regarding such use of your child’s pictures.
Parent/Guardian Print: ______
Parent/Guardian Signature: ______
Date: ______
2015 Mandatory Fundraiser
Our football and cheerleading league requires a certain amount of money to run safely for our children. There are equipment and items that as a league we need to be able to purchase for our participants. We depend a lot on the money we raise through fundraisers, sponsorships, donations and canteen sales. As a league, we have a mandatory fundraiser that all cheerleaders must participate. By signing below, you agree to participate in the fundraiser and canteen for the White Knoll Football and Cheerleading League and understand this is a requirement to be part of this league.
Initial: ______I understand that I will be required to participate in the mandatory fundraiser for the league in support of my child.
Initial: ______As a Parent/Guardian, I understand that I WILL BE CALLED UPON to support the league by working in the canteen during the game my child cheers.
Parent/Guardian Signature: ______
Date: ______
Non-Refundable Fees:
Cheerleading: $110 Cheerleading with Camp: $150 Camp Only: $40.00
Sibling Discount: $10.00
TOTAL DUE$______
SIZES:
___ T-Shirt
___ Uniform Top
___ Uniform Bottom
___ Bloomer
Team:______