Cheerleader's Registration Form

Please complete the Cheerleader’s Registration Form Below after completing this registration form you will automatically be taking to payment form to complete your Cheerleader’s Registration for the 2026 Season.

REQUIRED FIELDS*

CHEERLEADER DETAILS

Cheerleader's First Name

Cheerleader's Last Name

Cheerleader's Date of Birth

Cheerleader's Age 07/31/2026

Select Cheerleader's Gender*

Cheerleader's Phone

Upload A Headshot of The Cheerleader*

Headshot Upload*

Address1

Address2

City

State

Zip Code

Cheerleader's Grade

School

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PARENT'S DETAILS

Parent's/Guardian's First Name

Parent's/Guardian's Last Name

Parent's/Guardian's Cell

Parent's/Guardian's Home Phone

Parent's/Guardian's Work Phone

Parent's/Guardian's Address1

Parent's/Guardian's Address2

Parent's/Guardian's City

Parent's/Guardian's State

Parent's/Guardian's Zip Code

Parent's/Guardian's Spouse First Name

Parent's/Guardian's Spouse Last Name

Parent's/Guardian's Cell Phone

Parent's/Guardian's Home Phone

Parent's/Guardian's Spouse Email

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Emergency & Medical Contact Information

Primary Emergency Contact First Name

Primary Emergency Contact Last Name

Primary Emergency Contact Relationship to Cheerleader

Primary Emergency Contact Phone

Secondary Emergency Contact First Name

Secondary Emergency Contact Last Name

Secondary Emergency Contact Relationship to Cheerleader

Secondary Emergency Contact Home Phone

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Insurance & Medical Information

Do You Have Medical insurance?

Medical Insurance Company

Medical Insurance Policy Holder

Medical Insurance Phone Number

Medical Insurance Policy Number

Physician's First Name

Physician's Last Name

Preferred Hospital

Does the Cheerleader have any allergies that we need to be aware of?

Does the Cheerleader have any other medical conditions that we need to be aware of?

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Registration Options

Divisions

Summer Camp Registration (7/19-7/22)*

Acceptance

I acknowledge and agree that my child is voluntarily participating in Spotsy Cougars Cheerleading activities. I understand that participation may involve risk of injury and I authorize emergency medical treatment if needed. I agree to follow all team rules, policies, and codes of conduct. I also grant permission for photos and videos taken during team activities to be used for promotional and social media purposes by Spotsy Cougars Cheerleading.