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CONTACT INFORMATION

CONTACT Name:

Birth date:

Cell Phone:

Gym/Studio/School Phone:

Home Phone:

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Your status within the program:


	Gym/Studio Owner		Coach
	All Star Director		Parent
	Registration Administrator		Other
	Booster President

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PROGRAM INFORMATION

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Type of Program: (choose all that apply)

Have you ever attended a Coastal event?:

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If you answered yes... What event and year?

I WOULD LIKE MORE INFORMATION ON...

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WHICH OF THE FOLLOWING REPRESENTS YOUR TEAM/PROGRAM?

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	Cheer		Dance		Both

WHICH Coastal EVENTS ARE YOU INTERESTED IN?

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	Radical Rec Hyattsville, MD October 20, 2013
	The Cheer & Dance Masters Philadelphia, PA December 7, 2013
	Central Florida Face-Off Lakeland, FL December 14, 2013
	Big League Battle Worcester, MA January 4, 2014
	Steeltown Regional Pittsburgh, PA January 11, 2014
	Richmond Battle Richmond, VA January 11, 2014

	Heavy Hitters Trenton, NJ January 12, 2014
	Maryland State Baltimore, MD Jan. or Feb. 2014
	Battle at the Capitol - All Star & College National Harbor, MD February 7-9, 2014
	Maryland Regional Glen Burnie, MD Feb. or Mar. 2014
	Battle at the Capitol - School, Rec & Small All-stars Fairfax, VA March 7-9, 2014
	The Cheer & Dance Masters Detroit, MI March 15, 2014

	Six Flags Georgia Atlanta, GA March 29, 2014
	Spring Fling at Kings Dominion Doswell, VA April 26, 2014

WHO IS YOUR JAMCARE REP?

HOW DID YOU FIND THIS SITE?

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Coastal Brochure	Inside Cheerleader Magazine	Word-of-Mouth
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Cheer Biz Magazine	The Cheerleader Magazine	News Media