Prairie View Cheerleader Application
2016-2017
Name: __________________________ PV ID#_________________ Incoming Student________________
Major: __________________________ G.P.A. _________________ Acceptance Letter Date___________
Classification for Fall 2014: _______________ D.O.B._________________Age______________________
Cell Phone ___________________ Home Phone_____________________
Prairie View address: ______________________________________________________________________ _
Home Address: ___________________________________________ _________________________________
E-mail: ______________________________________________________
Parent’s names: _______________________________________________
Parent’s phone: _______________________________________________
Circle: Male
Female
Shirt size: S M L XL
Shorts size: S M L XL
Uniform Size: Top___________ _Skirt: ________________
Shoe size:
_____________
Height:
_____________ Weight: ____________
LIST PAST CHEER EXPERIENCE
______________________________________________________________________________________________
______________________________________________________________________________________________
___________________________________________________________________________________
LIST ANY PREVIOUS INJURIES
_____________________________________
WHAT MOTIVATED YOU TO TRY-OUT FOR PRAIRIE VIEW CHEERLEADING?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
LIST CLUBS/ACTIVITIES IN WHICH YOU PARTICIPATE:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
CAN YOU DEDICATE A FULL YEAR IF YOU BECOME A PVAMU CHEERLEADER?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
AS A PROSPECTIVE MEMBER OF THE PRAIRE VIEW CHEERLEADING SQUAD, I
UNDERSTAND THAT I MUST ADHERE TO THE FOLLOWING REQUIREMENTS AND
CONDITIONS OR RISK THE CHANCE OF BEING TERMINATED FROM THE TRYOUT PROCESS OR REMOVED FROM THE
SQUAD.
1. I am a full time student at Prairie V iew Univ ersity and have at least a 2.5 GPA, cumulative.
2. I am in good standing with the Prairie V iew University and not on academic or disciplinary probation.
3. I have no health or physical defects which would hamper my ability to perform as a cheerleader o r which might
cause cheerleading to be unsafe to my health.
3A. I am covered by adequate health insurance to cover any cost of accident or injury that may occur to me
during the try-out clinic, practices, or anytime I may be a member of Prairie V iew chee rleading program.
3B. I understand any costs not covered by university insurance will be my personal responsibility.
4. I understand and accept that I may be cut at any time during the tryout process for any reason.
4A. I realize the weight and condi tioning requirements necessary for the sport of college cheerleading.
I have completed this application packet to the best of my ability. I understand that collegiate cheerleading
involves elements of gymnastics and thus involves the risk of personal inju ry. I am participating in these tryouts
with this knowledge and do not hold Prairie V iew A&M University, the Student Activities Department liable. I also
understand that judging will partially be of subjective nature and that the final decision of choosing squad
members rests with the cheer coach and advisor.
Insurance Co: ______________________________ __________ Policy#: ___________
Participant Signature: _________________________________ Date: __ ___________
Cheer Advisor
Nina S Wright
nswright@pvamu.edu
936-261-1344
Cheer Coach
Lenny Cervantes
lecervantes@pvamu.edu
832-877-2288
CHECKLIST
Completed and signed application
�
Signed liability waiver
�
Front and back copy of health insurance card
�
Date of Current Physical
�
Copy of PV Student ID or acceptance letter
BEFORE SUBMITTING APPLICATION
Note: If you become a Prairie View A&M University Cheerleader, it is a privilege
and should not be taken lightly. Being a PVAMU Cheerleader will take hard
work and dedication. Be prepared to invest a lot of time with the cheer
program going to cheer camps, National Competition and athletic events such
as football and basketball games. For such events you may be asked to forfeit
holidays for practice such as, Christmas break, Spring break, and or summer
break. Please consider this before you commit yourself by signing the
application.