Spirit Squads

Junior Raider Application
Please fill out the application in its entirety. Thank you.

Required Fields in Bold

 
Participant Information

First Name
 
Middle Name
 
Last Name
 
Birthdate
 
 
Age
 
Gender
 
Male
Female
T-Shirt Size
 
 
Parent/Guardian Information

Parent/Guardian Name
 
Parent/Guardian Address
 
City
 
State/Province
 
Zip Code
 
Home Phone
 
Work Phone
 
Cell Phone
 
E-Mail Address
 
How did you hear about the program?
 
If you selected Jr. Raider Cheerleader, Newspaper, Radio, Other or Friend, please specify
 

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