MAIL TO or CARRY TO:

Chester Grade School: Attn: Rachel Marshall, Cheer Coach

650 Opdyke Street, Chester, IL 62233

Chester High Cheer Camp

Pretty Little Thing Registration Form

Camp Dates: February 11, 12, & 16 2015, 5:30-7:00 p.m., Juergens
Gym
Camp Performance: Tuesday, February 17, 2015, Colbert Gym during
half time of JV game

Please fill out this form completely and mail it in with your check in the amount of $25
no later than FEBRUARY 6th to guarantee a T-shirt.
Please make checks payable to Chester High School Cheerleading.
===============================================================
PLEASE PRINT ALL INFORMATION:
If you are registering more than one camper, please use separate registration forms.
Campers Last Name: __________________ First Name: ________________________
Grade: ________ Age: ____ (3 and up) School:_________________________________
Address: ________________________________________________________________
City: _____________________________ State: _________ Zip: ___________________
Home Phone: ______________________ Cell Phone: ____________________________
Parent/Guardian Name(s):_________________________________________________
Address: ________________________________________________________________
City: ________________________________ State: _______________ Zip:___________
Home Phone: ____________________________ Cell Phone: ______________________
Emergency Contact Information
1st Alternate Contact Persons Name_____________________ Relationship: __________
Phone/Cell Phone____________________
T-Shirt Size (Please circle your childs size): EVERY PARTICIPANT RECIEVES A FREE SHIRT
3T

4T

Adult Sm

Youth Sm (6-8)
Adult Med

Youth Med (10-12)

Adult Lg

Adult XLg

Youth Lg (14-16)
Adult 2XLg

Liability Waiver
I understand that my child, (childs name __________________________) will be participating
in Chester High Schools Cheer Camp 2015. Since this is a voluntary program, I will not hold the
school, staff members, or cheer team members liable for any accidental injury, which may occur.
In case of a medical emergency, I do give consent for my child to be treated at the nearest
emergency room.
Please list any allergies or health concerns we should be made aware of for your child.
____________________________________________

MAIL TO or CARRY TO:

Chester Grade School: Attn: Rachel Marshall, Cheer Coach
650 Opdyke Street, Chester, IL 62233
Parent/Guardian Signature________________________________ Date: ___________________

Additional items for purchase:

Extra Camp T-shirts @ $15/per shirt (Please circle your size(s)):

See back for additional items to purchase

3T

4T Youth Sm (6-8) Youth Med (10-12) Youth Lg (14-16)

Adult Sm Adult Med

Quantity: ___________

Adult Lg

Adult XLg

Adult 2XL(+$2)

RED Soffe Shorts w/ CHEER on the right leg in ________ @ $12/per short
Youth X Sm
Youth XLg

Youth Sm (6-8)

Adult X Sm
Adult Sm
Quantity: ____________

Youth Med (10-12)

Adult Med

Youth Lg (14-16)

Adult Lg

AdultXLg

RED Sweat Pants w/ CHEER on the right leg in _______ @ $20/per pant
Youth Sm (6-8)

Youth Med (10-12)

Adult Sm
Adult Med
Quantity: ____________

Adult Lg

Youth Lg (14-16)
AdultXLg

4 X6 Photo w/ CHS Cheerleaders @ $5 (Please circle below)

YES I would like my childs picture taken with the CHS Cheerleaders. I
have included $5 for a color photo.
NO

I would not like my childs picture taken with the CHS Cheerleaders.

For questions please call Rachel Marshall at 826-2354 ext. 212 and leave a voicemail.

++++++++++++++++++++++++++++++++++++++++++
+++++++++++++++++++++
For Office Use Only:

Payment:
Check#__________ Cash__________ Amount
$_______________________
Camp T-shirt:
A2XL

3T

4T

YS

YM

YL

AS

AM

AL

AXL

Additional T-shirts:

3T

4T

YS

YM

YL

AS

AM

AL AXL A2XL

MAIL TO or CARRY TO:

Chester Grade School: Attn: Rachel Marshall, Cheer Coach
650 Opdyke Street, Chester, IL 62233
Shorts:

YXS

Pants:
Picture:

YES

YS

YM

YL

AXS

AS

AM

AL AXL

YS

YM

YL

AS

AM

AL AXL

NO

Paid $5