TECH Spirit Interest Clinic
February 21, 2015

Click HERE for FAQs.  

REGISTRATION FORM

Name of Participant:

Age:

Grade: 

School: 

 Cheer Interest     Dance Interest

 

Parent/Guardian Name:

Home phone:

Cell phone:

Address:

City:   State:

Zip:  

Email Address:

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I, , am allowing my child,  to participate in the Tech Spirit Interest Clinic. I understand that in any athletic activity, including cheerleading and dance, accidents can happen. In the event my child is injured, I release Tech Spirit Interest Clinic, the clinic Director and Staff, and the University from any and all liability. I understand that my child will be taught in safe progressions, however there is always a risk involved with this type of activity.

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Date: Saturday, February 21st from 9:00 am-12:00 pm          
Location: Hull 112 (Double Gym), 1301 N. El Paso Ave. Russellville, AR

Confirmation of registration will be sent via email once received.

Cost $25.00 

Mail check to:
Attn: Aubrey Holt
Arkansas Tech University
Doc Bryan Student Services Center 233
Russellville, Arkansas 72801

Contact Aubrey Holt, Director of Campus Life, at 479.968.0276 or spiritsquads@atu.edu with any questions.

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