Lake Highlands High School Cheer - 2024 Fall Cheer Clinic

#1

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

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#2

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#3

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#4

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#5

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#6

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#7

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#8

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#9

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#10

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#11

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#12

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#13

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#14

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#15

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#16

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#17

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#18

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#19

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#20

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#21

Participant's First Name

Participant's Last Name

Grade

School

Parent Email

Emergency Contact

Emergency Phone Number

Any Allergies?

PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.

#1	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.	copy
#2	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#3	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#4	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#5	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#6	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#7	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#8	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#9	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#10	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#11	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#12	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#13	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#14	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#15	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#16	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#17	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#18	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#19	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#20	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.
#21	Participant's First Name Participant's Last Name Grade School Parent Email Emergency Contact Emergency Phone Number Any Allergies? PHOTO//VIDEO RELEASE - I provide consent for RISD to video tape and photograph my student.