Document Sample
					YOUTH FOOTBALL CHEERLEADING REGISTRATION 2009 Child’s Name: ________________________________________________ Address: _____________________________________________________ Home Phone: _________________________________________________ Birthdate: _________________ Current Grade:________________ School: ______________________________________________________ Mother’s Name: _______________________________________________ Father’s Name: _______________________________________________

Parents are responsible for transportation to away games.
Having been informed of the organization of Youth Football Cheerleading in Bellefontaine, Ohio, to provide supervised cheerleading for youth, I/we, the parents of the above named player, do hereby give my/our approval to participate in any and all of the activities during the current season. I/we do assume all the risks and hazards incidental to the conduct of the activities, transportation to and from the activities; and I/we do further hereby release, absolve, indemnify and hold harmless the Bellefontaine Joint Recreation District, the organizers, sponsors, and the supervisors appointed by them. I/we likewise release from the responsibility any person transporting the above named player to or from the activities. We, the parents of the above named candidate understand that this form is a REGISTRATION FOR SKILLS ASSESSMENT ONLY. Only those candidates selected in the assessment will be placed on the Little Chief Cheerleading Squad. All other girls will be placed on the Bellefontaine Blaze Cheerleading Squad. Also, we agree to provide proof of our child’s school and grade if requested. Parent’s Signature: ____________________________ Date: _____________________

By checking this box I choose to automatically place my child on the Blaze Cheerleading Squad and to fore go the assessments. Parents Signature: _______________________ Date:_________________________

Late Registration Policy – After 6/30/09 – Additional $20.00 Payable to the Joint Recreation District

Coaches will call with further information Fees collected by Organization