2023 Cheer Bio – Kensington Lions Club

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone *

Email (Personal) *

Please list personal email, NOT school email. School provided accounts often are cancelled after graduation.

Parent Cell Phone Number *

Please provide one parent contact number.

High School *

Cheer Coach *

Birth Date *

T-Shirt Size *

Attending College in Fall 2023?

College or Vocation *