Cheer/Dance Team Recruiting Form
Email
Secondary Email
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General Information
First Name: *
Last Name: *
Email address *
Address: *
Phone Number: *
City: *
State: *
Zip Code: *
Date of Birth:
Gender:
Male
Female
Parent/Guardian #1 Name
Parent/Guardian #1 Phone Number:
Parent/Guardian #1 Email:
Parent/Guardian #2 Name
Parent/Guardian #2 Phone Number:
Parent/Guardian #2 Email
Graduation Year:
High School/College:
Street Address:
State:
Zip Code:
Country:
GPA:
SAT Total:
ACT:
Academic Honors:
Intended Major:
Have You Applied to Central Community College?
Yes
No
Athletic
Height Feet/Inches:
High School Cheer/Dance Coach's Name:
High School Cheer/Dance Coach's Email:
Years on the High School Dance/Cheer Team:
Have you had Cheer/Dance Studio Training?
Yes
No
If Yes, What is the Cheer/Dance Studio Name:
Have you ever Participated in Choreographing for Your Cheer/Dance Team or Studio?
Yes
No
Student Electronic Signature - Please type your First and Last Name: *
Date: *
Date Picker
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