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Cheerleaders/Blaze/Golden Girls/Mic Man
Appearance Request Form

* Anything marked with a red asterisk is a required field.

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Your Information
First Name:
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Last Name:
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Organization Name:
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Organization is Part of UAB:
  Yes
No
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Business Address 1:
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Business Address 2:
 
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City:
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State:
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ZIP Code:
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Daytime Phone Number:
  ( * ) *- *
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E-Mail Address:
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Squads Desired (Check all that apply, but be certain to check at least one)
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  All-Girl Cheerleaders
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  Co-Ed Cheerleaders
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  Golden Girls
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  Blaze, the UAB Mascot   (When requesting Blaze, a dressing area must be available.)
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  Mic Man
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Event Information
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Event Name:
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Event Date:
  * * *
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Desired Arrival Time:
  * * *
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Desired Departure Time:
  * * *
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Event Description :
 
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Athletic Team Support Groups
teamsupport@uab.edu
(205) 975-5376
Fax: (205) 934-8070
136 Hill University Center, 1400 University Blvd.
8:00 a.m.-6:00 p.m. (M-Th), 8:00 a.m.-5:00 p.m. (F)
Mailing Address: HUC 136, 1530 3RD AVE S, BIRMINGHAM AL 35294-1150