First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
FAX
E-mail

 

Date of Birth

 

 

Will try out for which team (see school boundaries)?

Rams
Colts
SW Bears
SE Packers

 

Were you a JFL cheerleader last year?

Yes No

If yes, enter the team name in the space provided below.

Enter the school you attend in the space provided below.