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Are you the parent or cheerleader? Are you the parent or cheerleader?ParentCheerleader

Cheerleader's Full Name

Cheerleader's D.O.B

Address

Postcode

Does your child have any medical conditions? Does your child have any medical conditions?Yes (includes asthma, anxiety, ADHD etc)No

Is your child currently taking any medication? Is your child currently taking any medication?Yes (includes inhalers)No

Please provide details of any medical conditions

Please provide details of any medications

Parent's Full Name

Mobile

Email

Full Name

Date of Birth

Mobile Number

Email

Full Address

Postcode

Do you have any medical conditions? Do you have any medical conditions?Yes (includes asthma, anxiety, ADHD etc)No

Do you take any medication? Do you take any medication?Yes (includes inhalers)No

Please provide details of any medical conditions

Please provide details of any medications

Emergency Contact Name

Emergency Contact Mobile

Emergency Contact Email

Relation to You

Trial Time Slot Trial Time Slot12-1pm (Age 5-8)1-2pm (Age 9-11)2-3pm (Age 12-15)3-4pm age 15+

Previous Experiences Previous ExperiencesNone (no experience is required anyway)DanceGymnasticsCheerleadingOther

Where did you hear about us? Where did you hear about us?Google SearchGoogle AdFacebook/InstagramLeafletRecommendation/FriendEmailWebsite