Cheerleading Questionnaire

 Name:  
 Address:
 
 Phone Numbers:
 
 Email:
 
  Male/Female:
 Age:
 Birthdate:
 Height:
 Weight:
   
 Emergency Contact:  
 Emergency Number:
   
 High School:
 Graduation Date:
Rank in Class:
   
 College/University:
 Major:
 Program/degree sought:
 Materials requested:
   
 Honors and Awards
you have received:
   
 Sports you participate in:
   
 Currently Cheering:
 Years participated
in cheerleading:

  Years participated
in gymnastics:
 Coach:
   
 Do you have any co-ed
partner stunt experience?		 Yes, I do.
No, I don't.
 Please list most elite
skills in partner stunts:
   
Please check the following
tumbling skills you
can perform:

 Standing Backhandspring

 Standing Back Tuck

 Round off Backhandspring(s)

 Round off Backhandspring Tuck

 Round off Backhandspring Layout

 Round off Backhandspring Full

 Round off Backhandspring Double Full

 Front Tumbling

 Other gymnastic skills:
   
 Additonal Information:
   

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