Raider Cheerleader Tryouts - Archbishop Rummel High School

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Open Practices (4:30pm to 6:30pm) Tuesday, March 19, 2013 and Tuesday, March 26, 2013 Tryouts (4:30pm to 6:30pm) Tuesday, April 2 nd – Friday, April 5 th You must attend all tryout dates. All financial and time commitment information will be distributed on the first day of tryouts. For more information, please email: kcusachs@rummelraiders.com
Archbishop Rummel High School 2013/2014 Cheerleader Tryouts Medical Release For Emergency Purposes Only Name: (Other than parent) _________________________________________________________________________________ Relationship to Participant: _______________________________________ Phone: ____________________________________ Family Physician: __________________________________________________________________________________________ Physician Phone: ________________________________________ Physician Address: _________________________________________________________________________________________ Insurance Company: _______________________________________________________________________________________ Primary: ____________________________________________ Policy Number: ______________________________________ Hospital: _________________________________________________________________________________________________ Allergies or Comments: _____________________________________________________________________________________ _________________________________________________________________________________________________________ Parental Consent: I hereby give written permission for my child to attend the 2013/2014 Cheerleader Tryouts at Archbishop Rummel High School. As a parent/guardian, I do hereby authorize the treatment by a qualified and licensed medical doctor in an emergency which, in the opinion of the attending physician, may endanger his/her life, cause disfigurements, physical impairment or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to contact me. Allowing a student to participate in the 2013/2014 Archbishop Rummel Cheerleading Tryouts constitutes the consent of his/her parents or guardians for the student’s name, voice or likeness to be used in news publications, audio-visuals, and other electronic transmissions including the Archbishop Rummel website. Parent’s Signature Date Please bring completed medical release to either your first open practice or first day of tryouts in order to participate in the 2013/2014 Archbishop Rummel Cheerleading Tryout Session.
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Raider Cheerleader Tryouts - Archbishop Rummel High School

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