Wichita State University
Cheerleading
Name__________________________________________ Male female
Address_______________________________________________________
City______________________ State______________________ Zip code_____________
Phone____________________________________ cell number______________________
Email____________________________________________________________________
Age_____ Birthday_______________ Height _____ Weight___________
Parent or Guardian______________________________________________
High school___________________________________________ Yr in school___________
Graduation date____________ Rank in class________ out of________
Have you attended another college Y N where___________________________________________
What do you plan to study in college____________________________________________________
Honors or awards you have received____________________________________________________
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Sports you participate in (outside cheerleading)____________________________________________
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Wichita State University Skills Questionnaire
Currently Cheering Y N Where:_________________
Years participated in cheering:_________________________
Gymnastics:_______________________________________
Coach:________________________________________________
Coaches phone number:___________________________________
Do you have any Co-Ed partner stunting experience?
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Please list most elite skill in partner stunts you have performed
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Please check any of the following tumble skills that you can perform (with out a spotter)
___ Standing back handspring
___Standing Back tuck
___Round off back handspring (s)
___Round off back handspring back tuck
___ Round off back handspring layout
___Round off back handspring full
___ Round off back handspring Double full
___Front tumbling
Other gymnastics skills (please list)
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*Please return this form to*
Wichita State University
c/o Keli Barron
1845 Fairmount
Wichita , Ks 67260-1026