Prospective Barton Cheer Team Questionnaire

ZIP Code *

Email address *

Address 2

City *

Address 1 *

Last name *

State *

First name *

Home Telephone #:

Cell Phone #:

Birth Date:

Height:

Weight:

Parent/Guardian Information:

Name(s) and Occupation(s):

High School Information:

Name of High School:

High School Address:

(Street, City, State, Zip, Telephone)

High School Coach's Name and Phone Number:

Grade Point Average:

Graduation Year (Ex: 2025)

Rank in Class:

ACT or SAT Score(s):

Academic Awards/Honors/Etc you have received and Extra-curricular Activities you've participated in:

Hobbies:

What is your intended college major, academic interest, and/or career goals:

Have you attended any other college(s)? If so, name of college(s) and date(s) attended:

Cheerleading Information:

Years in Cheerleading:

Years in Gymnastics:

Years on Dance Team:

Skills you have:

Standing Back Handspring:

Yes No

Standing Back Tuck:

Yes No

Round Off Back Handspring:

Yes No

Round Off Back Handspring/Back Tuck:

Yes No

Back Handspring to Layout:

Yes No

Back Handspring to Full:

Yes No

Front Tumbling:

Yes No

List any other gymnastic skills you have:

Do you have any experience with a co-ed partner? If so, for how long?

List any past or present injuries:

List any honors or awards you have received for cheerleading/gymnastics/dance/etc:

* required field