Eastern Region Pop Warner Little Scholars, Inc
.
PO Box 1632 • Toms River• NJ • 08754
78 Years of Pop Warner Excellence!
http://www.easternregion.org/
2008 Season Cheer/Dance
Cheer Clinic-2008
Clinic Price $60 a coach
Please complete and email this form via the send my email button below within 2 weeks of selected Clinic date
Name of Your League/Conference:
Select a Conference Here
Bayside
Burlington County
Bux Mont
Caesar/Rodney
Capital District
Central Jersey
Central NY
Delco
Greater Watertown
Henlopen
Jersey Shore
Liberty
Lower Bucks
Maryland Football
Metro Baltimore
Metro BGC
Mid Hudson
Mon River
Mountain Valley
Newark
North Jersey
NYC PW
Raritan Valley
Rockland County
St. Marys
Tri Valley
Westchester
Western NY
Team/Association Name
Clinic Date & Location:
Coaches Name:
First Name
Last Name
Street Address
:
City/State/Zip
:
Contact Cell Phone
Registrant's Email
LEVEL OF CHEER OR DANCE
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Flag Cheer
Mite Cheer
Jr Peewee Cheer
Peewee Cheer
Jr Midget Cheer
Midget Cheer
Mite Dance
Jr Peewee Dance
Peewee Dance
Jr Midget Dance
Midget Dance
Cheer Competition Division (if applicable
)
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NOVICE
INTERMEDIATE
ADVANCED
Cheer Size
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Small
Large
Coaching Position:
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Head Coach
Assistant Coach
Association Commissioner
League Commissioner