Junior Mountaineer Cheer Clinic

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West Orange High School Mountaineer Cheerleaders. Present. Junior Mountaineer Cheer Clinic. Support WOHS Cheerleaders. N
West Orange High School Mountaineer Cheerleaders Present

Junior Mountaineer Cheer Clinic Support WOHS Cheerleaders

No Experience Needed

Open to all WO Residents grades Kindergarten to 8th grade Monday, September 25, 2017 6:00 to 8:00 PM $20 per child West Orange High School if mailed by 9/20 Pleasant Valley Way Gym $25 per child at the door All Clinic Participants are invited back on September 28 th to show what they've learned with WO Mountaineer Cheerleaders during Halftime! Checks payable to: WO Mountaineer Cheer

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Mail to: Nicole Fenske; 13 Sunnyside Road; West Orange, NJ 07052

Child's Name:_______________________ Parent's Signature: ___________________________ Grade: _____ Phone: _________________ Email: ___________________________________

Jr. Mountaineer Cheer Clinic Medical Consent and Waiver Monday, September 25 & Thursday, September 28, 2017 West Orange High School **All participants must fill out and hand in at the clinic**

Cheerleader's Name: ________________________________________________ Parent/Guardian's Name: ____________________________________________ Home Address: ____________________________________________________ Home Phone Number: ____________________________________ Parent/Guardian Cell Number: ________________________________________ Emergency Contact: ________________________________________________ Emergency Contact Phone Number: ___________________________________ I, _________________________, give my child __________________________ permission to participate in the Jr. Mountaineer Cheer Clinic. I verify that my child is in good health and able to participate in vigorous activities. I am aware of the apparent risks that go along with cheerleading. I understand that all essential precautions will be taken to ensure the safety of my child. I give my permission and consent that if an accident should occur, my child will be taken to a medical hospital and treated, if necessary. West Orange School District Board of Education, West Orange High School, West Orange Cheerleading Program, West Orange Cheerleading coaches, parents and staff are not liable for any injuries sustained at or during the clinic. X _________________________________________________________ Parent/Guardian Signature ___________________________ Date