Fall Youth Cheering Clinic

hosted by the

Portland High School Cheerleaders

and the

Deering High School Cheerleaders

Monday, October 13, 2008 (Columbus Day)

Portland Expo Building

Grades K - 8th

7:45am ~ 12:00 noon

Check in begins at 7:30am

Parents are invited to watch a

final performance from 11:30 to 12:00noon

Snacks Provided

...Cost...

$15.00 pre-resigtration postmarked by October 3, 2008

$20.00 payment after October 3, 2008 or at the door

Please make checks payable to Portland High School Cheering

Return checks and registration form to:

Lauri-Ann Moran

81 Deepwood Drive

Portland, Maine 04103

Clinic Registration Form

Name_________________________________Grade____________Age____

Address_______________________________________________________

______________________________________________________________

Team (if Applicable)______________________________________________

Name of parent or guardian________________________________________

Number where parent or guardian can be reached in case of emergency

(C)___________________(H)_________________(W)_________________

Name and number of alternate person to contact in case of emergency

Name________________________________________________________

(C)__________________(H)__________________(W)__________________

I am aware that cheerleading is a dangerous activity involving many risks of injury. I understand that the dangers and risks of participating in cheerleading include the risk of serious injury. I will not hold Portland High Shool, Deering High School, the Portland or Deering coaches, or the City of Portland responsible for injuries that may occur during the cheerleading clinic. I, the parent / guardian of _______________________, understand the risks as indicated above. Recognizing those dangers and risks, I give permission for my child to participate in the cheerleading clinic.

Date:____________________ Signature:________________________________________

Cheerleader Recruited by: ___________________________________

Mail to: Lauri-Ann Moran 81 Deepwood Drive Portland, Maine 04103

rev 02/08