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Are you looking to acquire new skills for college or even just for this year with your high school squad? This is the clinic for you! The Iowa Central Cheerleaders will help take you to the next level - whether it be learning coed skills or working together for group stunting. Please indicate in the questions area which area you are interested in. Guy or Girl - we have the clinic for you! Come Join the Triton Cheerleaders for some advanced stunting! This clinic will have a heavy emphasis on coed stunting; however if you are looking for group stunting - we will have that too. Clinic will be held at the United All Stars gym - 214 S 13th Street - Fort Dodge, Iowa Call with questions to Mindy: 515-351-2288

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:*	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

Students entered below will be added to your family's account

Questions/Options:


What is your t-shirt size?*
Please indicate whether you are interested in coed stunting or group stunting or both.*
Do you have previous stunting experience?*
Are you a flyer, base or backspot?*
What is your age and grade in school?*
What high school are you with? *
Will you be coming in the night before? If so - do you need a place to stay?*
Which session are you registering for - the morning (9-11 a.m.) or the afternoon (1-3 p.m.)*

Additional Information:

Legal Liability Waiver

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Legal Liability and Medical Release Form
" I am the legal guardian/parent or am of legal age and I fully understand that I am responsible for payment of expenses incurred relating to the college coed and stunt clinic.
" I certify that my child or myself is physically capable of participating in the college cheer and stunt clinic with United All Stars,L.L.C. and Iowa Central Community College and have no previous injuries that will effect participation.
" I hereby have been forewarned that participation in this clinic has the following non-exhaustive list of particular risks and injuries including but not limited to: sprains, strains, abrasions, dislocations, fractures, concussions, contusions, blisters, head and neck injuries, illness and even possible death.
" Having been forewarned, I assume all risk and full responsibility in connection with United All Stars, L.L.C and Iowa Central Community College and hereby release all instructors, staff, volunteers, practice and performance facilities, and others involved with United All Stars, L.L.C from any injury that may befall my child.
" I agree to hold harmless United All Stars, L.L.C. and Iowa Central Community College for any injury incurred as a result of my child's or myself's participation.
" I am fully aware of the inherent risks of cheerleading, dance and tumbling and am willing to accept these risks to participants of the college cheer and stunt clinic.
" I understand that United All Stars, L.L.C. and Iowa Central strive to provide the maximum in safety precautions and student training.
" I give permission for any medical treatment necessary in the event of illness or injury at the clinic while participating with United All Stars, L.L.C. and Iowa Central.
" I have provided accurate information to the best of my knowledge regarding my child's health and have alerted the staff of United All Stars, L.L.C with any medical concerns.
" I have read, agree to, and fully understand the information and risks and agree to all payments required for my child as a participant of United All Stars, L.L.C.
" I grant my child permission to be photographed, videotaped, or interviewed for the website, publications or press.

I've read the above and agree.

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