New York Xtreme, Inc.

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Athlete Information Sheet

* Name:

* Age:

* Date of Birth:

* Home/Cell Phone:

Email Address:

* Cheerleading Background (years of experience, type, etc.):

* Tumbling Skills/Experience (what skills are you currently able to do, working on, etc.):

* Stunting Skills/Experience (stunts you have done, base, flyer, backstop, etc):

Athlete Uniform sizing: Please state whether sizes are Youth/Junior or Adult sizes.

* Shirt Size:

* Skirt/Pant Size:

* Shoe Size:

* I am acknowledging I am committing to all activities required for the NY Xtreme Stars Competition Cheer team?:

We wish to promote a healthy learning environment and would like for our program to display the values we hold high. We strive to teach our athletes sportsmanship and respect. Anyone who behaves or speaks in an inappropriate matter in regards to these rules, immediately subjects herself to the possibility of dismissal from the program.

I agree to attend all NY Xtreme practices on time and in appropriate practice attire. I agree to follow all rules set forth by NY Xtreme, Inc., its coaches and staff. I agree to treat the staff and other participants with respect at all times.

By acknowledging this I am agreeing to the statements above. *

Signature:

Date:

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Athlete Information Sheet