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Cheerleading Questionnaire

Fill out the following information and it will be sent directly to Coach Lyming.

You can then fill out an online application or browse the Missouri Valley College website.

Personal
First Name:
Last Name:
Age:
Birthdate:
Home Address:
City:
State:
Zip:
Home Phone Number:
Email Address: *required

Academic
High School:
GPA:
Date of Graduation:
Academic Test Taken:	ACT SAT	Score:
Academic Area of Interest:

For Transfer Students Only
School:
Phone Number:
School Address:
Will you graduate?	Yes No
Date of Graduation:
Hours Completed:
GPA:

General Athletic Information
Other high school sports you paticipated in:
Individual Honors, Awards, etc.

Tumbling Skills:(Check all of the tumbling skills that you can confidently perform without a spotter):
Standing Back Handspring (BHS)
Round-off BHS
Round-off multiple BHS
Standing Back Tuck (BT)
Round-off BHS BT
Round-off BHS Layout
Round-off BHS Layout Full Twist
Any additional tumbling skills/passes

Stunting Skills:
List elite or special stunting skills (ex, stretch full down, full up arabesque double down, rewind, toss cupie, etc.)
What position are you in?	Base     Back     Top Person
List extra-curricular activities that you are involved in besides cheerleading?