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APPLICATIO a of the Monthreceive Cheerleaders Wina cashscholarship! L.A.Splash,PureSilk, byAlways,fostens, awarded scholarship

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Dateof birth:

yoursquadtype: Check O highschooljuniorvarsity O hish schoolvarsity O cottege O all-star

Recentcompetitionsyour squadhas entered(inctudeplacingand year):

youattend:School/col[ege Individualhonors/awardsreceived: Squadname:

Grade/year:-GPA:phonenumber(s) and Name(s), e-mail(s) ofyourcheercoach(es):

numbers ande-mail Listthe names, of at leasttwo adutts(e.g., addresses teacher,boss,principal)for references:

Othersportsyou participatein:

Listany positionsyou hotdin studentgovernment,school'retatedclubs,societiesor extracurricular activities:-

Listyourspecialinterestsand hobbies:

[ist any communityserviceor volunteerwork you do:

Sportsyou'vecheeredfor:

I will permitmy phototo be printedin Amerr?a, from andreleasethe magazine cheeileader anyclaimsI mayhaveby reasonof the useof myphoto,signed

Describeyour futureplansconcerningcollegeor career:

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