Book a free trial

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

Relationship to Cheerleader

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 Date Trial Date *Sunday 10th JulySunday 17th JulySunday 24th JulySunday 31st July

Trial Time Slot Trial Time Slot *12-1pm (Age 5-8)1-2pm (Age 9-11)2-3pm (Age 12-17)3-4pm age 18+

Previous Experiences Previous Experiences *None (no experience is required anyway)DanceGymnasticsCheerleadingOther

Name on leaflet (Invited by)