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CONATACT INFORMATION CONTAT Name: * Birth date: * Cell Phone: * Gym/Studio/School Phone: * Home Phone: * Email: *   Your status within the program: Gym/Studio Owner Coach All Star Director Parent Registration Administrator Other Booster President     Other:

PROGRAM INFORMATION Organization Name: * Physical Address: * City: * State: Zip: Choose a State Outside US / Canada Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   * Gym/Team Website: Team Colors:   # of Cheer Teams in Program # of Cheer Athletes in Program # of Dance Teams in Program # of Dance Athletes in Program     Type of Program: (choose all that apply) All Star Cheer All Star Dance School Cheer School Dance College Cheer College Dance Rec/Youth League Cheer Rec/Youth League Dance Dance Studio   Have you ever attended a LIVE! event?: Yes No If you answered yes... What event and year?

I WOULD LIKE MORE INFORMATION ON... (check all that apply)   Cheerleading Events Individual Skills Camps JAM U Dance Events Choreography Spirit Innovations National Competitions JAMfest Multiple Event Discounts LIVE! Events The U.S. Finals The JAM Rewards Private Camps JAMcamps JAMwear Merchandise

WHICH OF THE FOLLOWING REPRESENTS YOUR TEAM/PROGRAM? (check all that apply)   Cheer Dance Both

WHICH LIVE! EVENTS ARE YOU INTERESTED IN? (check all that apply)               LIVE! OKLAHOMA CITY Oklahoma City, OK 11.06.10 LIVE! WASHINGTON DC Washington, D.C. 01.08.11 LIVE! ATLANTA Atlanta, GA 03.5-6.11 LIVE! CHICAGO Chicago, IL 11.20-21.10 LIVE! CINCINNATI Cincinnati, OH 01.29-30.11 LIVE! INDIANAPOLIS Indianapolis, IN 03.12-13.11 LIVE! BILOXI Biloxi, MS 12.04.10 LIVE! PITTSBURGH Pittsburgh, PA 02.05.11 LIVE! CHARLOTTE Charlotte, NC 03.19.11 LIVE! VIRGINIA BEACH Virginia Beach, VA 12.11.10 LIVE! LONG BEACH Long Beach, CA 02.12.11 LIVE! PROVIDENCE Providence, RI 03.26.11 LIVE! ORLANDO Orlando, FL 12.18.10 LIVE! DETROIT Detroit, MI 02.19.11     LIVE! TORONTO Toronto, CANANDA Janaury 22, 2011 LIVE! SACRAMENTO Sacramento, CA 02.26.11

HOW DID YOU FIND THIS SITE? (check all that apply)   LIVE! Brochure Inside Cheerleader Magazine Word-of-Mouth American Cheerleader Magazine Dance Spirit Magazine Search Engine Cheer Biz Magazine The Cheerleader Magazine News Media

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