MAIL TO or CARRY TO:
Leesville High School Cheerleaders: Attn: Cristy Milton, Cheer Coach
502 Berry Ave., Leesville, LA 71446
Leesville High School Varsity Cheerleaders and Wally the Wampus Cat Present:
LHS Spring Cheer Clinic
for
Young Cheerleaders
(ages Pre-k through 8th grade)
Saturday, February 13, 2016
Leesville High School
On-Site Registration begins at 8:30 a.m.
9:00 a.m. - 12:00 p.m.
Learn a Chant, Cheer, and
Band Dance
to perform at half-time of the
LHS vs. Rayne game
on February 16, 2016
* Pre-Registration Fee is $30*
On-Site Registration Fee is $35.00
Fee includes instruction in chants, cheer, and dance routine;
t-shirt; a picture with Wally; and a Certificate of Achievement. We will also provide water and a snack.
Registration forms & checks should be mailed or delivered to:
LHS Cheer Clinic, Leesville High School,
502 Berry Ave., Leesville, LA 71446
Please make checks payable to Leesville High School
For more details, email
LHS Cheer merchandise will be available
WAMPUS CAT SRING MINI CHEER CLINIC
Registration Form
February 13, 2016 9a.m.-12p.m.
Please fill out this form completely and mail it in or deliver with your check, cash, or money order. The Pre-registration fee is $30. Pre-Registration ends Thursday, February 11,2016. Pre-Registration guarantees a shirt on the day of the clinic. The On-Site Registration fee is $35.$5 discount for a family of two or more.
Please make checks payable to Leesville High School Cheerleaders.
PLEASE PRINT ALL INFORMATION:
If you are registering more than one cheerleader, please use separate registration forms.
Cheerleader’s Last Name: ______First Name: ______MI: ______
Age: ______Grade: ______School: ______
Parent/Guardian Name(s): ______
Address: ______
City: ______State: ______Zip: ______
Email: ______
Home Phone: ______Cell Phone: ______
Other Phone: ______
T-Shirt Size (Please circle your child’s size):
Youth Sm (6-8) Y Med (10-12) Y Lg (14-16)
Adult Sm Adult Med Adult Lg
Please ensure your cheerleader wears athletic shoes and clothing. Hair must be pulled back and off the shoulders. For safety purposes no jewelry or gum is permitted. A water bottle is required for all camp attendees.
Please list any allergies or health concerns we should be made aware of for your child, and any required special medications or treatments: ______
______
Is there anything else we should know about your child? ______
______
Liability Waiver
I understand that my child, (child’s name ______) will be participating in the Leesville High School Spring Mini Cheer Clinic on ______. Since this is a voluntary program, I will not hold the school, staff members, or cheer team members liable for any accidental injury, which may occur. In case of a medical emergency, I do give consent for my child to be treated at the nearest emergency room.
Parent/Guardian Signature______
Date______
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
For Office Use Only:
Payment: Check #______ Cash ______
T-shirt: YS YM YL AS AM AL