Cheerleader Camp Registration

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PERKINS ATHLETIC BOOSTER CLUB

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REGISTRATION

First name*

Last name*

Grade*

Kindergarten

Crewneck sweatshirt size*

*** Registrations received by Friday September 12, 2025 at 3pm will receive their crewneck sweatshirt at registration. Late registrations will be accepted, but a camp crewneck is not guaranteed. ***

I authorize the Future Pirate Cheerleader Camp to provide any emergency action they deem necessary and have necessary medical insurance coverage. I will NOT hold Perkins Schools, staff or the Future Pirate Cheerleading Day Camp organizers responsible for any injury during my child’s participation.

Parent Signature*

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Parent First Name*

Parent Last Name*

Phone*

MEDICAL INFORMATION

Please note if any of the following relate to your child:

Asthma

Diabetes

Bee allergies

If your child is taking any kind of medication, please list here:

If your child has any allergies, please list here:

In case of an emergency do you give permission for school authorities to use their own judgment in sending your child to the hospital or doctor most easily accessible before parents are reached?

Emergency permission *

YES

Doctor

Doctor Phone

Preferred Hospital

Hospital Phone

Product*

Cheerleading Camp$42

Perkins Athletic Booster Club

P.O. Box 1022
Sandusky, OH 44870

Perkins Athletic Booster Club is the official fundraising organization benefitting all sports at Perkins Local Schools.

We are a SE 501(c)(3) organization and membership is open to all who support Perkins Pirate Athletics.
©2025 by Perkins Athletic Booster Club.

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