Cheerleading – Brown County Parks & Rec

Registration is open!

If you prefer to register in person please print, complete and return
this form to our office.

If you are human, leave this field blank.

Select Activity *

Participant's Name *

Age *

Sex *

Grade *

Date of Birth *

mm/dd/yyyy

Years in Program

Preferred Practice Location (HES, SES or VB Elem)

Requests not guaranteed

Parent/Guardian Name *

Mailing Address *

City *

State *

Zip *

Primary Phone *

Alternate Phone

Shirt Size *

Skirt Size-CHEERLEADERS ONLY

IMPORTANT INFORMATION, PLEASE READ!

I would like to HELP: **To ensure player safety all volunteers must submit to a background check.

Coach

Assistant Coach

Sponsor, Fee - $175.00

Comments or Medical Information

Additional Child *

Price

Signature (Type Name Here) *

By participating in this program or event you are granting permission for BCPR to share photos of your child(ren) for promotional purposes.

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Cheerleading Updates

June 27, 2019

Registration deadline is September for grades K-2 and November for grades 3-6.