Raider Cheerleader Tryouts - Archbishop Rummel High School

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Open Practices (4:30pm to 6:30pm)Tuesday, March 19, 2013andTuesday, March 26, 2013Tryouts (4:30pm to 6:30pm)Tuesday, April 2 nd – Friday, April 5 thYou must attend all tryout dates.All financial and time commitmentinformation will be distributed onthe first day of tryouts. For moreinformation, please email:kcusachs@rummelraiders.com
Archbishop Rummel High School2013/2014 Cheerleader TryoutsMedical ReleaseFor Emergency Purposes OnlyName: (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 ArchbishopRummel High School. As a parent/guardian, I do hereby authorize the treatment by a qualified and licensed medical doctor in anemergency which, in the opinion of the attending physician, may endanger his/her life, cause disfigurements, physical impairment orundue 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/herparents or guardians for the student’s name, voice or likeness to be used in news publications, audio-visuals, and other electronictransmissions including the Archbishop Rummel website.Parent’s SignatureDatePlease bring completed medical release to either your first open practice or first day of tryouts in order toparticipate in the 2013/2014 Archbishop Rummel Cheerleading Tryout Session.
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Raider Cheerleader Tryouts - Archbishop Rummel High School

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