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 via 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 May 10, 2025

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 (Included with fee)

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

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Additional Lunch 1 $5.00

Bottled Water included

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Additional Lunch 2 $5.00

Bottled Water included

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Additional Lunch 3 $5.00

Bottled Water included

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Additional Lunch 4 $5.00

Bottled Water included

*Additional Lunch 1 $5.00*

Bottled water included

*Additional Lunch 2 $5.00*

Bottled Water included

*Additional Lunch 3 $5.00*

Bottled Water included

*Additional Lunch 4 $5.00*

Bottled Water included

Total

How to pay for extra lunches

Pay in person

Pay via cash App

$PhoenixCheerleading

Where: Ken Rock Community Center, 625 Adams St.
When: Saturday, May 10, 2025
Time: 12-2 p.m.
Ages 5-18