Cheerleading – Brown County Parks & Rec

Online registration is currently closed

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

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.