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                   BEAVERTON HIGH SCHOOL CHEER
                        
CHEERLEADING CAMP APRIL 9TH, 2005
                                           REGISTRATION FORM
             A SIGNED
LIABILITY WAIVER IS ALSO A REQUIREMENT
  Participant's Name:                                                   Grade in School 2004-2005:
_______________________________                         ________________________

  Home Address:                                                          City/Zip:
_______________________________                         ________________________

  Parent's/Guardians Name:                                           Daytime Phone:
_______________________________                         _________________________

  Name of Doctor:                                                        Doctor's Phone:
_______________________________                         __________________________

  Emergency Contact Name:                                          Emergency Contact Phone:
_______________________________                         ______________________________

 
T-Shirt Size:

Youth small ____                        Youth medium ____               Adult small ____                      
Adult medium ____


 
To be completed by BHS CHEER

T-Shirt Size __________                    Registration Fee $50 __________                        Wiaver of Liability ___________


  **
Please make all checks payable to BHS Cheer **

*Camp will run from 9:00 am - 3:00 pm.  Please plan on arriving at 2:00pm for performance*