Cheerleading Tryout Form

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Please complete this tryout application form in its entirety. Email your head shot to head coach Chasity Moore at cgmoore@nemcc.edu. Please have a former coach send a letter of recommendation directly by email to coach Moore no later than April 5, 2021.

A clinic will be held from 3-5 p.m. on Tuesday, April 6. The tryout date for the 2021-22 Northeast Mississippi Community College cheerleading program is Wednesday, April 7 inside Bonner Arnold Coliseum.

Name *

Date of Birth *

Age *

Home Address *

Street, City, State, Zip Code

Phone Number *

Please Designate Cell or Home

Email address *

Parent/Guardian Names *

Accepted Northeast Student? *

Yes No

Classification for 2020-21 School Year *

Freshman Sophomore

Major *

Grade Point Average *

Other Colleges Attended

If Applicable

High School *

Height *

Weight *

Cheer Background *

Please list your high school and/or all-star gym names. Also indicate if you have been on staff for NCA, UCA, ACA, etc.

Tumbling Skills/Experience *

Standing Back Handspring Series of Back Handsprings Standing Back Tuck Layout Full Twist Other

Positions *

Flyer Main Base Side Base Back Spot

Flyers Only -- Check Positions You are Comfortable With

Please check positions you are comfortable with

Liberty Arabesque Heel Stretch Scale Scorpion

How would you rate your dance ability? *

Average Good Excellent Superior

Extracurricular Activities Outside of Cheer *

Include time commitment to each

Work/Job Experience

If Applicable

Scholastic, School and Community Honors

Medical Conditions that May Affect Practices or Performances

In one sentence, explain why you want to be a Northeast cheerleader *

* required field