Request Form

All fields with an asterisk (*) are required and must be filled in; otherwise the form will not submit.

Event Details

Name of Event*:
Location & Address*:
Event Date*:
Event Start Time*:
Event End Time*:
Cheerleader Start Time*:
*On Tuesdays & Thursdays, cheerleaders are available only until 4:00 pm.
   
Cheerleader End Time*:
*On Tuesdays & Thursdays, cheerleaders are available only until 4:00 pm.
   
Female Cheerleaders Requested*:
Male Cheerleaders Requested*:
Event Theme*:
Event Description*:
Cheerleader Role/Function at Event*:
Please be specific (autographs, theme talk, etc.)
Event Sponsors*:
Attire of Attendees*:
Black Tie    Semi Formal    Casual
   
Requested Attire of Cheerleaders*:
Black Tie    Semi Formal    Casual    Appearance Outfit
   
Audience Size*:
Age Range*:
Directions to Event Location*:
Please be specific & include links to maps.
Will Parking be provided?*
Will Food/Beverage be provided?*
Will the cheerleaders perform?*
Will there be an autograph session?*
Will a sound system be available?*
Will a paramedic be on duty?*
   

Organization Details

Organization*:
Type*:
Business/Corporate    Charity    Non Profit    Corporate Fundraisers
Other:   
Address*:
City*:
State*:
Zip Code*:
 
 
Phone*:
Fax:
(example: xxx-xxx-xxxx)
(example: xxx-xxx-xxxx)
   

Contact Information

First Name*:
Last Name*:
Phone*:
E-mail*:
(example: xxx-xxx-xxxx)
On-site Contact*:
On-site Phone*:
(example: xxx-xxx-xxxx)
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