Little Lancers Sign-up Form

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WHO: ALL cheerleaders ages 4-10 years old will be taught cheers, chants, jumps, a dance, and other basic fundamentals of what it takes to be a Belleville East Cheerleader!

WHERE: Clinic: Belleville East High School –The Annex Gym / Performance: Belleville East High School- Main Gym

WHEN: Clinic: February 9th from 6:00-7:30 pm / Performance: February 10th at the Basketball game vs. O’Fallon, @ 7:30 pm

COST: $40.00 per participant. This includes admission into the Lancer Basketball Game for child attending clinic, special Belleville East Little Lancers T-shirt, cheerleading hair bow, pom-poms, and a fun time learning cheers with your Belleville East Basketball Cheerleaders! *If you choose to enroll on the day of the clinic, the cost will be $45.00*

GAME: All participants will have the opportunity to perform a short cheer and dance with the East cheerleaders at halftime of the East vs. O’Fallon basketball game. (This is not required to participate in the clinic.) Please note that there is an entrance fee for family members to attend the game. Little Lancers should wear their clinic T-Shirt and cheerleading hair bow along with black or navy shorts and white tennis shoes. Don’t forget your poms! Please arrive to the Annex by 6:00pm on performance day.

Questions? Please contact Coach Courtney Cook at ccook@bths201.org

Forms of payment: check, cash, or money order payable to Belleville East.

*no option of online payment at this time, we apologize.*

Please mail or deliver your permission slip and money by Friday, February 8th, 2023. (East employees can submit to my athletic mailbox in the athletic office)

Belleville East High School

Attn: Courtney Cook Basketball Cheer

2555 West Blvd.

Belleville, IL 62221

*This link will close on February 7th. Anyone wishing to participate after the 7th will need to bring a paper copy to the clinic. The price will increase to $45 for particpants signing up the day of.*

Email *

Name of Cheerleader (If you have multiple children, please fill out one for each.) *

Age *

T-shirt size *

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Parent Name *

Parent Cell *

Emergency Contact / Phone number *

Payment

Please mail to: Belleville East High School Attn: Courtney Cook Basketball Cheer 2555 West Blvd. Belleville, IL 62221

I certify that I will be mailing /or deliverying my $40 payment.

I certify that I am bringing the $40 to the clinic. If this is your option, please individually email me so I can have written consent of payment agreement.

Belleville East Disclaimer: I am aware that playing or practicing to play/participate in a sport can involve risks or injury. My son/daughter has permission to participate in the camp indicated. The terms hereof shall serve as a release and an assumption of risk for my heirs, estate, executor, administrator, assignees, and for all members of my family. In the event of an injury or accident, my son/daughter has permission to receive immediate medical attention at the nearest facility if that care is deemed appropriate.

I give permission for my child to participate in the 2023 Belleville East High School Varsity Basketball Cheerleading Clinic. I will NOT hold Belleville East High School, District 201, or any of its employees liable for any injury that is caused as a result of the participation in the clinic. Please type your name below if you agree with this statement. This consent is required for participation.
*

Thank you for registering for our Little Lancer clinic. We are so excited to meet our little Lancers!

Parents- you may stay for the duration of the camp. If you choose to leave, we please ask that you arrive prior to 7:30pm for pick up.

A copy of your responses will be emailed to the address you provided.

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