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CampwillbeheldonFridaySeptember26th,2014
4:30pm6:30pm
>$30.00registration
>Questions:CallTrinaCasey,TriCenterVarsityCheerleadingCoach,(712)3095859
oremailtctrojancheer@gmail.com
>MailregistrationformwithcheckpayabletoTriCenterCheerleadingto
TrinaCasey,7052ndStreet,Neola,IA51559
PleasereturnthefollowingportionwithyourpaymentbySept.15toguaranteeyourTshirtorder!
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Name:____________________________________________________________________________
Age:______CurrentGrade:______Birthday:Month/Day/YEAR)________________________________
ParentsEmail:_____________________________________________________________________
Address:__________________________________________________________________________
Phone:Home:_______________________Cell:__________________________________________
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YouthSmall________YouthMedium________YouthLarge________
AdultSmall________AdultMedium________AdultLarge_________
*****IREALIZETHATWITHANYATHLETICACTIVITYTHEREISARISKOFINJURY.IGIVEMYPERMISSION
FOR________________________________(STUDENTSNAME)TOATTEND&PARTICIPATEINTHE2014
TRICENTERYOUTHCHEERCAMPANDRELEASETRICENTERCOMMUNITYSCHOOLDISTRICT,THE
COACH,ANDCHEERLEADERSFROMLIABILITYFORANYACCIDENTSTHATMIGHTOCCURDURING
PARTICIPATION.
PARENT/GUARDIANSIGNATURE:__________________________________________________
DATE:______________