Outreach Programs for America's Youth...

Back to the Champion Youth Home Page!
Pom-Pons Home Page! See You at Class!

Pom-Pons Registration Info

Please fill out the information below and push the
"Create My Form!" button.

Student Information

Student's Last Name:
Student's First Name:
Age:
School Attends:
New CY Student: Returning CY Student:

Parent or Guardian Information

Parent's Last Name:
Parent's First Name:
 
Street:
City:
State:   Zip:
 
Home Phone: ()
Work Phone: ()
E-Mail:

How do you plan on paying class fees?
Save $1.00 per class if pre-pay!
Registration fee: $5.00
(Note: No payment is required at this time.)

I would like to pre-pay and save $1.00 per class:

I would like to pay weekly:

Pom-Pons are mandatory for this program.

Poms are $14.00 / set.


Make sure to fluff your poms!
The more you scrunch them the bigger they get!!
I would like to pre-order a set of poms:
I plan on purchasing poms at class:
No thank you, I already have my poms!

We also offer Champion Youth pom outfits!
(Note: Outfits are not mandatory and will be available throughout the session.)

Our Offical Poms Outfit consists of a Raglan style t-shirt and navy blue cheer shorts; each with the world famous Champion Youth Poms logo.   This stylish outfit is the same one the students wear at our Dance & Poms Show!
Cost is $15.00 for the Raglan t-shirt and $12.00 for the shorts. We also have a optional skirt availible for $13.00

Raglan T-Shirt

Cheer Shorts
Child Small: Child Small:
Child Medium: Child Medium:
Child Large: Child Large:

Adult Small: Adult Small:
Adult Medium: Adult Medium:
Adult Large: Adult Large:
Adult X-Large: Adult X-Large:

No Thank You! No Thank You!


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