Junior Raiderette Cheerleading Clinics are open to juniors of all ability levels, between the ages of 7 – 15, no auditions required. Your child will have fun, as well as strengthen personal talents, abilities and confidence in a non-competitive environment.

This sign up form is meant for those that participated in last year's event and do not need a new uniform.

If you are not a returning participant click here for the NEW participant form.

                                                      Returning participants that need a new uniform click here.

Please read the waiver in its entirety and enter your information below.

Jr. Raiderettes waiver, release, and authorization for medical treatment

2010 Jr. Raiderettes
You acknowledge and expressly agree that you have read, understand and verify the above Agreement and Release.: YesNo
First Name:
Last Name:
Age on 8-01-10: 789101112131415
School:
Grade, Fall 2010: 2nd3rd4th5th6th7th8th9th10th
Pertinent Medical History:
Allergies:
Current Medications:
Last Tetanus Booster:
Family Doctor:
Doctor Phone Number:
Insurance Company:
Policy Holder:
Policy Number:
Parent or Guardian Full Name:
Parent Address:
Parent City:
Parent State: CAALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
Parent Zip:
Parent Phone Number:
Alternate Phone Number:
Parent eMail:
Emergency Contact Full Name:
Emergency Contact Number: