Kids Cheer Clinic 2026

Xavier Kids Cheer Clinic

This camp is for K-8th graders
Practice Days:
Tuesday, September 29
Wednesday, September 30
Thursday, October 1
4:00–5:00 PM in the BAC Gym
Doors open at 3:45 PM.
Performance:
Friday, October 2
Xavier Home Football Game vs. Palm Springs
Participants meet at 6:00 PM
Kickoff at 7:00 PM
Kids Clinic participants will perform at halftime.

Participant Registration

$50.00 # Participants
Item subtotal:

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Participant Information

Please complete the information below.
Parent Name

First NameLast Name
Parent Phone Number
Format: (000) 000-0000.
Parent Email
example@example.com
Child #1

First NameLast Name
Age
Grade
School Currently Attending
T-Shirt Size
Child #2

First NameLast Name
Age
Grade
School Currently Attending
T-Shirt Size
Child #3

First NameLast Name
Age
Grade
School Currently Attending
T-Shirt Size
How did you hear about our Kids Clinic?
If referred by a current Cheerleader, please share their name.
Emergency & Medical Information
Emergency Contact

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to participant
Allergies, medical conditions, or other information our coaching staff should be aware of?
Any necessary medications or special accommodations
Authorized Pickup Information

Please include the full name and contact number for anyone other than the parent authorized to pick up your participant.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Waiver
By checking the box below, I/we acknowledge that I/we have read this participation, assumption of risk, waiver and release of liability, and indemnification agreement; fully understand its terms; understand that I/we have given up substantial rights by signing it; and have signed it freely and voluntarily without any inducement (other than the opportunity to participate in Xavier's Cheer Program), assurance, or guarantee being made to me/us. I/we intend my/our signature(s) to effect a complete and unconditional release and waiver of all liability, including any negligence of the releasees identified in this agreement, and to indemnify the releasees to the greatest extent allowed by law.Photo/video release: I/we grant permission to Xavier’s Cheer Program to photograph or record myself and/or my child during program activities. These may be used for promotional purposes, including social media and marketing materials, without compensation or approval.
Should be Empty:

Xavier Kids Cheer Clinic

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Participant Information

Emergency & Medical Information

Authorized Pickup Information

Waiver