2025CheerClinic • Liberty Christian School

Participant Name

First

Last

Grade

Camper Age Group

What school does student attend?

Clinic is open to all Liberty Christian school girls from pre-K to eighth grade, or sisters of current Liberty Christian school students.

(If not Liberty Christian student, what school does child attend?)

name participant) of?

LCS Sibling's name

First

Last

Shirt Size

Does the camper have any known allergies or medical conditions we should be aware of?

Yes
No

Please explain any allergies/medical conditions:

Parent/guardian information

Please enter the name of the parent or guardian who should be contacted in the case of an emergency.

Relationship

Parent
Grandparent
Guardian

Your Name

First

Last

Phone

Email

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Payment options ($25 per participant)

Cash Payment
Online Payment

(Cash payments must be taken to either school office)

Total (for online payment - cash payments are still due, at the school)

$0.00

Square

Card

Name on Card

Checkboxes

I am agreeing to the waiver below

I hereby release and hold harmless Liberty Christian School, its staff, coaches, volunteers, and representatives from any and all liability for injuries, accidents, or damages that may occur during participation in the Liberty Christian School Elementary Cheer Clinic. I understand that participation in athletic activities carries inherent risks, and I accept full responsibility for my child’s participation. I authorize clinic staff to obtain medical care for my child in the event of an emergency if I cannot be reached.

Any extra questions or comments: