TECH Spirit Interest Clinic
February 21, 2015

Click HERE for FAQs.  


Name of Participant:




 Cheer Interest     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 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 with any questions.