cheerz registration form
Cheerz Cheerleading Academy, 1739 La Neuville Rd. Lafayette, LA 70508
We do not mail confirmations.  If there is a conflict in the day you requested, we will call you.  Just come on the day you registered for during the week of September 8th. 
Wear comfortable clothes. Please fill out form completely, print, and return it to Cheerz with registration fee of $25.00 per session.  *Don't forget to sign and initial*

Name

                                                         
School                                             
Street Address City 

      
State ZipCode Home Phone

 
Age Grade

 

Birthdate 

  

Mother's Name Place of Employment

Mother's Cell # Wk # SSN

Email

Father's Name Place of Employment

Father's Cell # Wk # SSN

 Email

Relative in case of emergency    Phone

Please indicate class day and time preference here:

Please Check the Class(es) to be Attended (all classes are 1 hour per week)

Beginner Cheer & Tumbling 1 Intermediate Tumbling 1 Intermediate Cheer
Beginner Cheer & Tumbling 2 Intermediate Tumbling 2 Tryout Class Jr. High (spring session only)
Beginner Cheer & Tumbling 3 Int./Adv. Tumbling Tryout Class High School (spring session only)
Starz Prep Advanced Tumbling Squad Class
  Layouts & Twists  
2008-09 Sessions Prices
September 8 - December 12 1 Hr/wk  $200/session  3 Hrs/wk $420/session
January 12 - April 9 2 Hrs/wk $320/session  4 Hrs/wk $500/session
HALF OF SESSION FEE IS DUE BY FIRST CLASS AND REMAINDER DUE BY 15TH OF NEXT MONTH
ALL MONIES ARE NON-REFUNDABLE UPON RECEIVED REGISTRATION
PLEASE INCLUDE A $25 REGISTRATION FEE

I, , give my child, , permission to participate in Cheerz Cheerleading Academy, Inc.'s program.  I understand that cheerleading involves intense physical activity and the chance of injury does exist.  My child is in good health and capable of participating in this type of activity.  I release and agree to hold harmless the Cheerz Cheerleading Academy, Inc. and it's staff from any liability whatsoever.  In case of emergency, I give Cheerz and its staff permission to call for medical attention.

Signature  ___________________________________          Date _______________

I understand that tuition is due in full by 15th of the second month of the session regardless of attendance.  Should this account Default, it will be turned over to the Credit Bureau of Baton Rouge. 

Initials ________                Cheerz Initials _________