2025 Spring Cheer Clinic

Participant Information

Child Name(Required)

First Last

Date of Birth(Required)

Please make sure birth date is correct.

Shirt Size(Required)

Medical Conditions?(Required)

Medical Conditions: If yes, please explain.

Medical Condition Explained(Required)

Additional Child(Required)

Second Child

Child Name(Required)

First Last

Date of Birth(Required)

Please make sure birth date is correct.

Shirt Size(Required)

Medical Conditions?(Required)

Medical Conditions: If yes, please explain.

Medical Condition Explained(Required)

Emergency Contact

Parent Name(Required)

First Last

Parent Mobile(Required)

Parent Email(Required)

2025 Cheer Clinic Agreement and Consent

Initials (Photo Release Satement)(Required)

Photo release statement: I give permission to take and use photos/videos for promotional use.

Initials (Refunds)(Required)

Refunds: No refunds are available after May 15th. Credit Card service fees will be deducted from refund.

Initials (Liability Waiver)(Required)

I acknowledge and understand that cheerleading involves physical activity and carries a risk of injury. I hearby release and hold harmless York Seaford Falcons Youth Football & Cheerleading, its staff, and volunteers from any liability resulting from participation.

Initials (Medical Authorization)(Required)

In the event of a medical emergency, I authorize York Seaford Falcons Youth Football & Cheerleading to obtain medical treatment for my child.

Signature

Today Total

Billing Address

Street Address City State / Province / Region ZIP / Postal Code

Coupon

Credit Card

Cardholder Name

Card Details

This field is for validation purposes and should be left unchanged.