Grid kids Cheer

Player Name (required)

Date of Birth (required)

Grade (required)

Gaurdian Name (required)

Relationship to player (required)

Address (required)

Phone number (required)

Insurance Company and Policy # (required)

Responsible Party (required)

Emergency contacts ( Please provide 2 ) (required)

Medical Conditions (required)

I understand that this is a community youth organization and my childs photo may be published as a participant in the activities he/she has registered for (required)

yes

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

Date (required)

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Grid kids Cheer

Grid Kids 1st Child Registration Fee

Grid Kids 3rd Child Registration fee

Grid Kids 2nd Child Registration fee