2015 Fall Football Cheer and Dance Clinic

Date: Saturday November, 7th 2015
Camp Location: Williams-Brice Gymnasium
Registration begins at 8am
Clinic Times: 9am to 12pm
Game vs. Gardner-Webb Starts: 3:30pm
*Clinic Performance will be at half time

Cost: $35.00
Late registration (after Oct. 19): $40.00
Early Registration Deadline: Oct. 19, 2015
Additional tickets will be available at registration.
Myrtle Beach, South Carolina

This camp is open to ages 5-17 yrs. Age groups will be separated. The Coastal Carolina University Cheer and Dance Clinic will be held on campus at the Williams-Brice Gymnasium. Attendees will learn a routine that will be performed during half time of the home football game vs Gardner-Webb 11/7/15 at 3:30pm.This routine will include jumps, stunts, tumbling, and dance. This clinic will be taught by ACCA Safety Certified CCU Cheerleaders and Dancers. As well as Experienced National Award Winning Coaches.

Payment will be taken the day of camp. Registration begins at 8am at the Williams-Brice Gymnasium. This fee includes Game day tickets for Camp attendees. Additional tickets can be purchased at the clinic registration.. Please fill out how many additional tickets you will be requesting below in the registration form. The additional tickets will be paid for during clinic registration.

Should you have any questions please contact Head Cheer Coach AudraLee Scofield at 843.349.2867 or

Please complete the following form:

Participant's Name:    Age:

Participant's Name:    Age:

Participant's Name:    Age:

Address:   City:   

State:   Zip:


Parent's Name:

Home Phone:   Cell Phone:

Additional Tickets Needed:

T-Shirt Size:

Camp and Clinic Release of Liability Form

I am aware that participating in cheerleading can be a dangerous activity involving MANY RISKS OF INJURY. I understand that the dangers and risk of participating in cheerleading include, but are not limited to, death, serious neck and spinal injuries and serious injury or impairment to other aspects of my body, general health or well being. Because of the dangers of participating in cheerleading, I recognize the importance of following the coach's instruction regarding playing techniques, training and team rules, and to obey such instructions. In consideration of Coastal Carolina University permitting me to participate in the Coastal Carolina University cheerleading clinic and to engage in all activities related to the cheerleading clinic. I hereby voluntarily assume all risks associated with participation and agree to exonerate and save harmless Coastal Carolina University, their agents, servants, and employees from any and all liability claims, causes of action or demands of any kind and nature whatsoever which may arise by or in connection with my participation in any activities related to Coastal Carolina Cheerleading.

I have carefully reviewed and voluntarily agree to the terms of this waiver and release of liability agreement.

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