WBHS Varsity Cheerleaders "Knights Cheerleading Camp"

posted May 1, 2017, 9:50 AM by Sharon H Anderson


West Bladen Varsity Cheerleaders


JUNE 27th-30th TUESDAY-FRIDAY  (9:00-12:00)                 

 June 30th - Parent Day (10:00 AM) FRIDAY

Ages 3-14

Cost: 50.00 which includes a WBHS Knights Cheerleading T-shirt

And light refreshments every afternoon

All participants will cheer at a Varsity Football Game. Date to be announced.

Applications can be downloaded from the WBHS website at


or picked up at West Bladen High School

Application deadline: June 19th 2017

Mail applications to:

West Bladen High School

1600 NC HWY 410

Bladenboro, NC 28320

For More Information Contact: Mary Todd mjtodd@bladen.k12.nc.us

West Bladen Varsity Cheerleaders



MINI CAMPER NAME___________________________________                 

Referring Cheerleader:__________________________________

Please Circle the size shirt your camper needs:

YOUTH SHIRT SIZE:         Small      Medium      Large     XL

ADULT:      Small      Medium      Large      XL

If you would like a t-shirt for yourself please indicate the size below and include an extra 15.00 per parent/Guardian t-shirt. Please include the 15.00 with the camper fee if you order a shirt. We will not be able to order without payment. Thanks for supporting WBHS Cheerleaders and we are looking forward to a great camp this year.


Small        Medium        Large        XL         XXL

Please see attached waiver and liability form and return it with this form:


I hereby waive and absolve West Bladen High School, and all divisions thereof, of any and all liability and

responsibility for injuries, accidents, sickness and/or acts of God incurred during participation in and/or

instruction of clinics, classes, games,private coaching, and/or any other cheerleading  related activity by

myself/my child, whose name is_________________________________.In consideration of my signed

release allowing my child/myself to participate in a West Bladen High School four day cheerleading Mini

Camp, I, intending to be legally bound, do hereby, my heirs, executor administrator, waive, release, and

forever discharge any and all rights and claims for damage which I may have or which may hereafter

accrue to me against West Bladen High School, the camp/clinic directors, coaches, or their respective

employees, offices, agents, representatives, successors, and/or assignees, for any and all damages which

may be sustained or suffered by me or my child in connection with my association with or participation

in this camp or rising out of travel to and/or return from the respective West Bladen High School.  In the

event of injury/accident/sickness, West Bladen High School coaches, officials, and/or instructors are to

contact the designated adult listed below.


Signature of Parent/Guardian/Date_________________________________________Date ______________

Participant’s Name __________________________________________________ Age _________

CONTACT INFORMATION (please note any allergies to medications on this form)

GUARDIAN’S NAME_______________________________ RELATIONSHIP _________________



HOME PHONE __________________________ CELL PHONE _______________________________

DOCTOR’S NAME _______________________ DR. PHONE _________________________________

INSURANCE COMPANY _____________________POLICY # _______________________________