Name

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City

State
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ZIP

Home Phone

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School attending

Graduation Date

Cheer Coach Name

Cheer Coach Number

Cheer Coach Email Address

Height

Weight

ACT/SAT score

Applied to Purdue?
Select Yes No

Do you have any co-ed partner stunt experience?
Yes
No

Please list most elite skills in partner stunts:

Please check the following tumbling skills you can perform:
Select Yes No Standing Backhandspring
Select Yes No Standing Back Tuck
Select Yes No Round off Backhandspring(s)
Select Yes No Round off Backhandspring Tuck
Select Yes No Round off Backhandspring Layout
Select Yes No Round off Backhandspring Full

Other gymnastic skills: