Camp Registration - Rockford Phoenix Cheerleading Club

Please fill out the form and then you will be directed to a payment page.
*The price of the camp is $26.05 (Stripe payment including fees) or $25 Cash App or Zelle. (NO REFUNDS)*

Cheer Camp

Childs Name(Required)

First Last

Parent/Guardian Name(Required)

First Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Email(Required)

Phone(Required)

Child's Age(Required)

Child's Birth Date(Required)

Last Grade Completed(Required)

Allergies/Medical Information(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Emergency Contact Relationship to Child(Required)

Emergency Contact 2 Name

First Last

Emergency Contact 2 Phone

Emergency Contact 2 Relationship to Child

Parent/Guardian Volunteer

We may need volunteers in the future.

Please Choose Your Lunch

Bottled Water. Nachos or Hot Dog & Chips (pre-register to get nachos or the default is a hot dog & chips while supplies last)

Where: Ken Rock Community Center 625 Adams St.
When: Saturday, January 18, 2025
Time: 1-3 p.m.
Ages 6-15