2026 Cheer Registration (Basketball)
Step 1 of 3: Submit
Cheerleader’s Name
*
Cheerleader’s Birthday
*
Cheerleader’s Age
*
Cheerleader’s Grade
*
Select an option:
K
1
2
3
4
5
6
7
8
9
10
11
12
Size for top
*
Select an option:
YXS (4-5)
YS (6-8)
YM (10-12)
YL (14-16)
AS
AM
AL
AXL
Size for skort
*
Select an option:
YXS (4-5)
YS (6-8)
YM (10-12)
YL (14-16)
AS
AM
AL
AXL
Parent/Guardian Name(s)
*
Parent/Guardian Phone Numer
*
Parent or Guardian Email Address
*
Need to be placed on a specific team? (for those that have siblings playing basketball)
*
Select an option:
Yes
No
If yes, name of the Basketball player your child needs to cheer for:
Do you want to coach your child's team? If you coach your childs registration is free AND you get a coachs shirt
*
Select an option:
Yes! Sign me up for a head coach spot
Yes, but I want to be someone's assistant
No, I'm good, thanks
Registration Fee
*
Select an option:
1 Child ($75 USD)
2 Children ($130 USD)
3 Children ($150 USD)
4 Children ($170 USD)
Cash: child cant participate until paid ($0 USD)
If registering multiple cheerleaders, list their names and sizes below:
CONSENT FOR EMERGENCY TREATMENT in the event I cannot be contacted in a medical emergency involving
my child, I authorize the Owen County Parks and Recreation to consent to all emergency medical care
proceedings to be rendered by a duly licensed health care provder or physician. I understand that the Owen
County Parks and Recreation does not provide insurance coverage for the above listed proram participant and
that I am responsible for my child's own personal insurance coverage. This care may be given under whatever
conditions necessary for the health and well being of my child
CONSENT FOR EMERGENCY TREATMENT
*
Select an option:
I agree
I disagree
Insurance Information: Company Name
*
Insurance information: Policy#
*
By Signing this form you are agreeing to the above waivers, policies and certifying information to be correct to the best of your knowledge.
I agree that the Owen County Park and Recreation shall not be responsible for any personal injuries or
losses sustained by me or my registered child while on any premises, or as a result of any Owen County
Park and Recreation sponsored activities. I further agree to indemnify and save harmless the Owen
County Park and Recreation from any claims or demands arising out of any such injuries or losses.
Proof of insurance must be provided:
Signature
*
Date:
Wednesday, 21 October 2026 (EDT)
Name:
Type your name to sign this document:
Typing name is equivalent to a handwritten signature
Scan this QR code with your phone:
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*
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