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TOM BEAN YOUTH SPORTS ASSOCIATION

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Cheerleader's First Name

Cheerleader's Last Name

Cheerleader's Date of Birth * required

Cheerleader's Grade at the beginning of next fall

Parent/Guardian First Name

Parent/Guardian Last Name

Parent Phone Number

Parent/Guardian Email

Parent/Guardian First Name #2

Parent/Guardian Last Name #2

Alternate Parent/Guardian Phone Number

Emergency Contact First and Last Name (Other than Parent)

Emergency Contact Phone Number

Parent: Will you assistant Coach? *

Yes

No

Maybe

Parent: Will you volunteer in other TBYSA areas (Team Help, Concession, Field Maintenance) *

Yes

No

Does your child have any medical issues that would require a Doctor's release before playing this sport.

Thanks for submitting!

CHEERLEADING REGISTRATION FORM

Subscribe Form

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