Mini Hornets (3rd-5th) team is now full. Limited space remains on the Baby Buzz (K-2nd) team.

Hiram Hornets Youth Cheerleading 2026 Registration Form (Mini Hornets 3rd-5th grade, Baby Buzz K-2nd grade)

"*" indicates required fields

Cheerleader Information

Cheerleader's Name*

First Last

Birthdate*

Current Age*

What grade will your child be in when school starts again in August?*

Current Grade Level*

Pants Size*

Short Size*

Parent / Guardian Information

Mother's (Guardian) Name

First Last

Home Phone

Mother's Cell

Mother's Work Phone

Mother's (Guardian) Email*

Enter Email Confirm Email

Father's (Guardian) Name

First Last

Father's Cell

Father's Work Phone

Father's (Guardian) Email*

Enter Email Confirm Email

Address*

Street Address Address Line 2 City State ZIP Code

Emergency Contact's Name*

First Last

Phone*

Family Insurance Covers Injuries Incurred by Youth Sports*

YES

Insurance Company Name

Insurance Policy Number

PERMISSION MEDICAL RELEASE & WAIVER OF TRANSPORTATION LIABILITY

I hereby certify that I have knowledge of my child’s physical condition and state of health, and I give my consent and permission for my daughter to engage in the active sports program of NWGYFL and the Hiram Hornets Youth Cheer Program. I do further certify that my daughter has no physical defects, disease, or disability that will in any way jeopardize his health of physical condition if he is allowed to take an active part in the program.

I further state that I shall not hold any Person, Firm, or Corporation backing any team, nor any of the Coaches of the Hiram Hornets Youth Cheerleading Program, the Gold Bow Booster Club officers, the NWGYFL, and the Hiram High School Cheerleading Program responsible nor liable for injuries incurred during practice sessions, practice games, regularly scheduled games, or transportation to and from games.

I further certify that by placing my signature on this document I have given permission to the Hiram Hornets Youth Cheerleading Program to transport my child to a medical facility to secure treatment if deemed necessary at that time.

Parent / Legal Guardian Acceptance*

I agree to the above terms and conditions

Date*

Parent / Legal Guardian's Signature

AUTHORIZATION FOR TREATMENT

I hereby give permission for the representation of the Hiram Hornets Youth Cheerleading Program to secure immediate medical treatment for my child listed in this registration, who is under the age of eighteen (18) years. I further give my permission for a medical facility or a representative of the Hiram Hornets Youth Cheerleading Program to provide immediate medical treatment for the above listed child. I understand that medical treatment is authorized in my absence, and that my signature below releases the Medical Facility and the Hiram Hornets Youth Cheerleading Program and Hiram High School from liability regarding treatment if I cannot be reached. I further understand that I will be considered the responsible party for any charges incurred.

Parent / Legal Guardian Acceptance*

I agree to the above terms and conditions

Date*

Parent / Legal Guardian's Signature

Please list below any existing medical conditions, allergies and prescription drugs taken:

Payment Center

No refunds will be granted.

All school issued items are to be returned in clean, satisfactory condition at the end of the season.

Registration First Payment: $125

Parent / Legal Guardian Acceptance*

I agree to the above terms and conditions

Registration Fee*

Payment Information

You will pay for your Registration with a credit card.

Total Payment

Payment Method*

American Express
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Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Mini Hornets (3rd-5th) team is now full. Limited space remains on the Baby Buzz (K-2nd) team.

Hiram Hornets Youth Cheerleading 2026 Registration Form (Mini Hornets 3rd-5th grade, Baby Buzz K-2nd grade)

Cheerleader Information

Parent / Guardian Information

PERMISSION MEDICAL RELEASE & WAIVER OF TRANSPORTATION LIABILITY

AUTHORIZATION FOR TREATMENT

Payment Center

No refunds will be granted. All school issued items are to be returned in clean, satisfactory condition at the end of the season.

Registration First Payment: $125

Payment Information

You will pay for your Registration with a credit card.

No refunds will be granted.

All school issued items are to be returned in clean, satisfactory condition at the end of the season.