LaunchTrack

Registration Fee Deposit (Hold Spot) - $75.00

Registration Fee 2nd Payment - $75.00

Registration Fee 3rd Payment - $75.00

$75 Holds your spot. All Fees must be paid by January 5th.

First name:

Last name:

Email:

Age:

Birthdate:

Gender:

Female

Male

School Name:

How did you hear about us?:

Your Childs Current Grade:

Friend Request 1:

Friend Request 2:

Friend Request 3:

Shirt Size:

Short Size:

Interested in coaching?:

Yes, Assistant Coach

If YES, you ARE interested in coaching, please enter the coach's email:

Parent/Guardian Information

Parent/Guardian 1 First Name:

Parent/Guardian 1 Last Name:

Address:

Address2:

City:

Province / State:

Postal / Zip Code:

Address 2:

City:

State:

Postal/Zip Code:

Parent/Guardian 1 Phone Number:

Parent/Guardian 1 Email Address:

Apex Elite Cheerleading