**Last Name: **First Name: **Middle Initial:
Date of Birth (MM/DD/YYYY): (//)
**Home Address: **City:
**State: **Zip Code: Home Phone Number:
Email Address:
School Attending: **Graduation Year: Select One Pre-2008 2008 2009 2010 2011 2012
Major: ACT/SAT Score: G.P.A.
Sponsor/Coach:
Coach's Phone Number:
Gender: Male Female Height: Weight:
All-Star Cheer Gym/Dance Studio: Location:
Coach: Phone Number: Total Years Cheer Exp.:
Position: (Check if applicable) Coach has the option to change any position at any time!!!
Co-ed: Base Flyer (Top girl) Middle (Some basing) All-Girl: Main Base Back Spot Secondary Base
Tumbling Skills: (Check only what you can execute consistently without a spot.)
Standing: Back Handspring Back Tuck Handspring - Back Tuck Handspring - Full Twist Standing Full Other:
Running: Back Handspring Handspring - Back Tuck Handspring - Layout Handspring - Full Twist Handspring - Double Full Twist Other:
Stunting (Co-ed): Select only what you can do with proper technique consistently.
Hands: Liberty Stretch Arabesque Cupee
Toss: Liberty Stretch Arabesque Cupee
*Girls: (Full Downs, list all skills you can full down from.)
Double Downs: (List skills you can double down from.)
Full-ups:
Rewinds:
Why do you want to be a CCC cheer athlete?
**Human test (correct answer required - this makes sure the form is being filled out by an actual person and not a spam bot). What color is the sky on a sunny day?
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