OLIVER SPRINGS YOUTH CLUB
Cheerleader Sign-Up
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Receipt #______________
Paid____________
Cash___________
Check #_________
Other___________
I, the undersigned, hereby give permission for
_________________________________________ ___________________________________________
Child's Name Date of Birth (Must be 5 before or on May 1st)
To participate in the little league cheerleading and football program offered by the Oliver Springs Youth Club.
Furthermore, I hereby relieve OSYC and the league in which it participates of all liabilities, including medical expenses,
should the above named child incur any injury while participating in, traveling from, prior to, and immediately after any
and all scheduled Oliver springs Youth Club approved events (games, scrimmages, practice sessions, etc.). I further
agree to reimburse OSYC the replacement cost for any and all items lost, stolen, and/or otherwise rendered unusable
(as determined by the OSYC) that are issued to the child for participation in this program. I further relieve OSYC of any
responsibilities from the loss and/or theft of any and all personal items. All participating cheerleaders are expected to
follow all team rules and display good sportsmanship at all times.
SIZES: Shirt:_______________, Shorts:_______________, Skirt_______________, Bloomers:_______________
*When signing this form, you as a parent or guardian will be required to work a ONE HOUR MINIMUM in the
concession stand or at the gate before or after your child's game AND also during the weeks of practices. We also
need help with clean-ups. Without the concession stand revenues, we will not have adequate funding to maintain
our program. Your child's coach or a concession stand representative will have sign-up sheets to help you choose
a time to fit your schedule.
SIGNATURE OF PARENT OR GUARDIAN:______________________________________DATE:________________
Father's Name (or guardian)_________________________________Email address:________________________
Address:____________________________________________________________________________________
Home Phone:____________________________________Cell Phone:___________________________________
Employer:_______________________________________Work Phone:__________________________________
Mother's Name (or guardian)_________________________________Email address:______________________
Address (if different):__________________________________________________________________________
Home Phone (if different):___________________________Cell Phone:__________________________________
Employer:_______________________________________Work Phone:_________________________________
Name, Address, & Phone Number for nearest relative not living with you:__________________________________
__________________________________________________________________________________________
IF YOUR CHILD'S UNIFORM IS NOT RETURNED:
1. Your child will not receive a trophy.
2. Your child will not be allowed to participate in the next session or any other sports through O.S.Y.C.
3. You, as a parent or guardian, will be responsible for the total cost of a uniform replacement, currently $150.00.
*If you are interested in assisting with a team, please check here:__________________
*Do you have health insurance for your child? Yes__________ No__________