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)*
(Once the form on this page is filled out, please go to the forms tab on the home page and fill out these forms (1) waiver, (2) adult, and (3) minor photo release.)

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