Sideline Team – Utah Velocity Cheer

Fill the following form to get registered for Sideline Cheer

First Name*

Last Name

Gender*

Boy

Girl

Date of Birth*

School*

Home Address*

City*

State*

Zip Code*

Parent or Guardian First Name*

Parent or Guardian Last Name*

Primary Phone*

Email*

Emergency Contact Name and Phone Number*

Please list any Medical Restrictions and/or allergies to Medicine*

How did you hear about us?*

Did someone refer you?

Payment Details

Sideline Cheer*

*Your card will not be charged until the next step, no card details have been entered.Price originally $125 per month Includes $5.03 processing fee Total $130.03

Total $ 130.03

Credit/Debit Card