Grid kids Cheer Player Name (required) Date of Birth (required) Grade (required) 3 4 5 6 Gaurdian Name (required) Relationship to player (required) Address (required) Email (required) Phone number (required) Insurance Company and Policy # (required) Responsible Party (required) Emergency contacts ( Please provide 2 ) (required) Medical Conditions (required) I understand that this is a community youth organization and my childs photo may be published as a participant in the activities he/she has registered for (required)yes Your Signature (required) Confirm e-Signature Review Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signatures Your Signature (required) Confirm e-Signature Review Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signatures Date (required) There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.