2017 Cheer Clinic Registration

Saturday, January 13, 2017 - Registration 8:30-9:00am

Cheer Clinic from 9:00am until 12:00pm

Public Service Building at Chipola College

Child?s name:_____________________________________________________

Parent name:__________________________________ Contact number:________________

Parent Signature:_________________________________________________

If someone other than yourself will be picking your child up, please list their name below. For the safety of your child, please make sure they have a picture ID with them, or we will not release your child. Thank you for your cooperation, Chipola College Cheerleaders.

Name and Contact number:___________________________________________________________

*My signature above signifies that I understand that the Chipola College Cheerleaders, Chipola College, or any constituents thereof, are not responsible for any accidents.