Registration Form

	Individual Camp Registration Summer 2010

Please fill out form completely, print, and return it to Cheerz along with camp fee ($100 for Cheer; $100 for tumbling.)
***We do not mail confirmations.*** If purchasing a spirit lunch, please add $20 to your payment.

Mail to: Cheerz Cheerleading Academy, 1739 La Neuville Rd., Lafayette, LA 70508.

Name	Age
School
Street Address
City
State/Province		Zip/Postal Code
Parent Name
Home Phone	Work #
Cell

Check all that apply:
Cheer Camp Date	June 7-10
	June 28-July 1
	July 19-22

Tumbling Camp Date	June 7-10
	June 28-July 1
	July 19-22

Spirit Lunch (check one)	Yes No

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 upon registering for the session regardless of attendance. Should this account Default, it will be turned over to the Credit Bureau of Baton Rouge.

Initials ________ Cheerz Initials _________

Please print completed form and mail to cheerz along with payment of $100 for cheer camps or $100 for tumbling camps, and $20 if purchasing spirit lunch.
1739 LaNeuville Rd. Lafayette, LA 70508