TECH Spirit Interest ClinicFebruary 21, 2015

Click HERE for FAQs.


Name of Participant:




CheerInterest Dance Interest

Parent/Guardian Name:

Home phone:

Cell phone:


City: State:


Email Address:


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.


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 HoltArkansas Tech UniversityDoc Bryan Student Services Center 233Russellville, Arkansas 72801

Contact Aubrey Holt, Director of Campus Life, at 479.968.0276 or with any questions.