Melbourne Cheerleading - Victorian State Cheerleaders

Please fill out this form to join our waitlist for our Recreational Cheer Program.

Which waitlist are you wanting to join?*
- Recreational Cheer
- Kinder Cheer
- Boys Tumble Class
Athlete First Name*
Last Name*
Date of Birth*
Parent First Name*
Contact Number*
Email*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Relevant information about student
eg medical conditions, injuries, learning difficulties
Name
This field is for validation purposes and should be left unchanged.