Hawaii Summer Camp
June 30 - July 7, 2010
CheerHawaii USA Nomination Form
click here for a printable form you can fax in
*indicates a required field
Coach Submitting This Form:
Coach's Last Name*
 Coach's First Name*
High School Name*
 Coach's Street Address (Preferred Mailing Address)*
High Street Address and City and Zip Code *
 Coach's City*
 State*
High School State*
 Coach's Zip Code*

** Coach, are you interested in applying for a coach/chaperone position at the 2010 Summer Camp? If "Yes," please check this box, and we will send you an application packet.
I am interested in being a coach/chaperone at the 2010 CheerHawaii USA Camp.

Coach's Email*
Phone # (Please select preferred contact number)*
Home  
Work  
Cell  
How did you hear about us?*
   Mailer    Website    Advertisement    Regional Coordinator - Name:
Cheerleader #1    FLYER  or  BASE (select one)*
Last Name*
Age
 Year in School
  
First Name*
 Street Address
Contact Phone #
City
State
Email
Zip Code
Comments:
Cheerleader #2    FLYER  or  BASE (select one)
Last Name*
Age
 Year in School
  
First Name*
 Street Address
Contact Phone #
 City
 State
Email (Required)
 Zip Code
Comments:
Additional comments:
Please Note: If you are nominating more than 2 cheerleaders, please fill out another form.


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