Jack Trice Stadium Expansion Project
Football Gameday Social Experience
Iowa State College Cheerleading Prep Clinic Registration
Please fill out the following form to register for the 2014 Iowa State College Cheerleading Prep Clinic on Saturday, March 1 at the Bergstrom Indoor Football Facility. After submitting the registration, please print a copy to send with payment (cash or check). All checks must be made out to IOWA STATE UNIVERSITY. Registration deadline is Friday, February 21, 2014.

Required Fields in Bold

Participant First Name
 
Participant Last Name
 
Mailing Address
 
City
 
State
 
Zip Code
 
Participant Email
 
Preferred Email for Clinic Information (parent or participant)
 
Participant Phone Number (555-555-5555)
 
 
Participant Clinic Information

Current School (High School or College)
 
Current Grade Classification
 
Freshman
Sophomore
Junior
Senior
Squad Intrest
 
Co Ed
All Girl
Both
Position(s) in which you have the MOST stunting experience
 
All Girl Base
All Girl Back Base
All Girl Flyer
Co Ed Base (Males)
Co Ed Flyer
None
Position(s) in which you are interested in LEARNING
 
All Girl Base
All Girl Back Base
All Girl Flyer
Co Ed Base (Males)
Co Ed Flyer
None
Do you have tumbling experience?
 
Yes
No
 
Emergency Contact Information

Name of Emergency Contact
 
Relation to Participant
 
Cell Phone Number (555-555-5555)
 
Form of Payment - $40.00
 
Cash
Check made to IOWA STATE UNIVERSITY
 
After submitting registration, please print a copy of the confirmation page and send with $40 payment to: Iowa State Athletics Department - Spirit Squad, Jacobson Athletic Building, Ames, Iowa 50011
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