Nevada Cheerleading
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2024-2025 Middle and High School Clinic
Registrant's Info
Participant's Name
(Required)
First
Last
Participant’s Date of Birth
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Parent/Legal Guardian's Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Address
(Required)
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Emergency Contact Name
(Required)
Emergency Contact Phone
(Required)
Liability Policy
(Required)
I agree to the Nevada Spirit Liability Policy
(Required)
I, the undersigned, agree to hold the Cheer/Stunt/Pom/Mascot Spirit Program and Athletic Department at the University of Nevada, Reno and the directors of this program harmless from all suits, claims, or demands of every kind and character arising out of and in connection with the program provided by the Cheer/ Stunt/Pom/Mascot Spirit Program at the University of Nevada, Reno. I further certify that the participant has no ailment or organic defect that would make participation in the activity dangerous to the health of the participant. I hereby authorize the clinic staff to act on my behalf according to their best judgment in any emergency requiring medical attention and hereby waive and release the Cheer/ Stunt/Pom/Mascot Programat the University of Nevada, Reno from any and all liability for injuries incurred while participating.
Please e-sign by writing full legal name of Parent/Legal Guardian
(Required)