Team Registration Form

This form must be completed by a parent if the athlete is under 18.

Name of person completing this form:

Team Member Information

First Name:

Last Name:

Grade:

School:

Birth Date (MM/DD/YYYY):

Parent Name(s):

Address:

State:

Zip:

City:

Preferred Phone:

Parent Email:

Student Email:

Team Questionnaire

Can we include your phone number, address, and email in the United Twirling team directory?
(We do not share your personal information with anyone outside of our group. The team directory
will only be given to our team members.)

Yes

Who would you like to request as your primary coach for private lessons? (We will try our best
to accommodate your request if possible, but feel free to check more than one box in case your
first choice is unavailable.)

Ashley

Brooke

Jenny

Kali

Rachel

Tracy

Kristin

I am not sure. Please match me with a coach.

Comments:

Would your child like to be on more than one team? (Please note that this will only be if necessary
and only for those athletes who are capable of handling the demand of multiple teams.

All of our teams will compete at the following competitions:
March 7 - USTA Tennessee Memorial Open (White House, TN)
May 9 - USTA Tennessee State (Loftis Middle)
June 5-7 - USTA Southeast Regionals (Florida)
(Team competition will be held on Saturday, June 6.)

Do you plan to attend all competitions listed above?

Yes

USTA Nationals will be held in Stockton, CA, July 15-18 (Team competition will be held on July 18.)
Please use the comment box below to let us know your thoughts on attending Nationals.

Do you have any suggestions for fundraisers?

Would you be willing to take charge of a fundraiser?

Yes

Please list any dates that you may have conflicts for practices from Sept. - Dec. (especially Saturdays).

Do you have any other comments/suggestions?