A Completed Registration consists of:

Transcription

1 A Completed Registration consists of: MGSE 2-page registration form with ALL fields completed (if not applicable, please write N/A don t leave blank) Team Registration Grid --- either the Allstar Cheer & Dance Team Registration Form - OR - the School & Recreation Cheer & Dance Team Registration Form USASF event rosters for Allstar Cheer & Dance teams --- NO exceptions. Please note that you are responsible for submitting these to MGSE directly. ATHLETES Athlete membership paid for the current membership term 2. Listed on the roster as an active or reserve athlete for the team entering the warm-up room COACHES Career membership fee has been paid for the current membership term 2. Green Light Background Check Status issued by the National Council of Safety Initiatives 3. Listed on the roster as a coach for the team entering the warm-up room NON-COACHING STAFF/PERSONNEL 1. Green Light Background Check Status issued by the National Council of Safety Initiatives 2. Listed on the PERSONNEL and indicates CURRENT with background check Schools & Rec MUST submit our Team Competitor List (one form per team) Waiver Disclaimer (one form per gym or program) Either the Credit Card Payment Form OR a cashiers check, money order or official school check as payment --- we DO NOT accept personal or gym checks (NO exceptions!) IF COMPETING FOR WORLD S BIDS (in New Orleans) then we will need copies of birth certificates for all members participating on World s qualifying teams if DOBs have not been verified with USASF MUSIC GUIDELINES --- Please refer to our General Information/Guidelines section of our packet for details.

2 MARDI GRAS SPIRIT EVENTS REGISTRATION FORM Please Check Event(s) Parade of Champions Event Date Early / $50 Crossover / $35 On-Time / $55 Crossover / $35 Late / $60 (received after 4 pm CST this date) Crossover / $35 New Orleans, LA December 3, 2017 November 1, 2017 November 15, 2017 November 15, 2017 Charlotte, NC December 9, 2017 November 8, 2017 November 22, 2017 November 22, 2017 Please Check Event(s) Mardi Gras Nationals Event Date Early / $75 Crossover / $50 On-Time / $80 Crossover / $50 Late / $85 (received after 4 pm CST this date) Crossover / $50 New Orleans, LA January 13 & 14, 2018 December 13, 2017 December 27, 2017 December 27, 2017 (New Orleans ONLY) World Bid Competitors $105 $110 $115 Hot Springs, AR January 20, 2018 December 20, 2017 January 3, 2018 January 3, 2018 Alexandria, LA January 28, 2018 December 27, 2017 January 10, 2018 January 10, 2018 Columbus, GA February 4, 2018 January 3, 2018 January 17, 2018 January 17, 2018 Austin OR San Marcos, TX February 11, 2018 January 10, 2018 January 24, 2018 January 24, 2018 Trenton, NJ February 25, 2018 January 24, 2018 February 7, 2018 February 7, 2018 Beaumont, TX March 3, 2018 January 31, 2018 February 14, 2018 February 14, 2018 Hershey, PA March 10 &/or 11, 2018 February 7, 2018 February 21, 2018 February 21, 2018 Nashville, TN March 17, 2018 February 14, 2018 February 28, 2018 February 28, 2018 St. Louis, MO April 8, 2018 March 7, 2018 March 21, 2018 March 21, 2018 REGISTRATION REMINDERS VERY IMPORTANT --- Pricing is based on the receipt time & date of FULL payment AND this 2 page registration form (MUST be received in our office by 4 pm CST on deadline date) --- NO EXCEPTIONS! A division change fee of $100 will be enforced once the preliminary schedule has been posted and NO changes are allowed once the final schedule has been posted. NO REFUNDS --- all registration fees are non-refundable. Payments MUST be in the form of cashier s check, money order, credit card or official school check. NO booster club, gym checks or personal checks will be accepted! If you choose to mail your registration and/or payment to us at 2000 Segnette Blvd., Westwego, LA 70094, we recommend using a trackable mailing service (Priority mail, UPS, FedEx, etc.) to guarantee a delivery date that corresponds with the submitted payment. ALL registration forms and payments must be complete and received by the on-time registration deadline in order to receive a FAST PASS. This includes competitor list(s) and waiver form(s). Only teams that are paid in full will be placed on the schedules that are posted on our website the Monday (preliminary) and Wednesday (final) prior to an event. Registration will close at 4:00 p.m. CST on Friday one week prior to the event date. *****ALL FIELDS MUST BE COMPLETED (do not leave blank if not applicable, please put N/A) ***** Referred by Gym/Studio/School Name Contact Name address (REQUIRED! Registration confirmation and correspondence will be sent to this address.) 1 Page

3 Gym/Studio/School Mailing Address Phone: Gym/Studio/School cell I have read the general information/guidelines, registration policies, judging guidelines, and all event information and accept its contents. By registering your teams with MGSE, you confirm that you have authority to verify that all of your performance music complies with U.S. Copyright and Licensing laws and complies with USASF sanctioning standards on copyright and music licensing for each team you are registering for the season. MGSE will not be held responsible for the music that your teams are performing to. A copy of the guidelines from USA Cheer can be found at (contact signature) (date signed) *** PLEASE NOTE: Upon receipt of any registration form (team member list, waiver, payment, etc.), you will receive an confirmation. If you do not receive an confirmation, then we have not received the information! Registration fees are based on the time & date that this registration form AND payment are received, NOT when they were postmarked. The competitor list(s) and waiver(s) can be submitted later, but must be received prior to the event. Payment should be made payable to Mardi Gras Nationals and will be accepted by cashier s check, money order, credit card only! We highly recommend any registration and/or payment that is mailed to our office be done using UPS, FedEx, DHL or USPS Priority to guarantee M delivery date. Mardi Gras Spirit Events 2000 Segnette Boulevard Westwego, LA PARADE OF CHAMPIONS EVENTS Total # of Team Participants X $ 50 / $ 55 / $ 60 = $ # of Crossover Participants X $ 35 = $ (also includes Level 6 and Show/Exhibition team members) # of Special Athletes X $ 0 = $ 0 TOTAL $ MARDI GRAS NATIONALS EVENTS Total # of Team Participants X $ 75 / $ 80 / $ 85 = $ Total # of Worlds qualifying participants X $105 / $110 / $115 = $ # of Crossover Participants X $ 50 = $ (also includes Level 6 and Show/Exhibition team members) # of Special Athletes X $ 0 = $ 0 2 Page TOTAL $

4 ALLSTAR CHEER & DANCE TEAM REGISTRATION FORM Gym and/or Team Name Event City Attending Noncompete Division Level 1 Level 2 Level 3 Level 4 Level 4.2 Level 5 Level 6 ALLSTAR CHEER Show / Exhibition Special Needs Parent Team Tiny Novice Tiny Mini Youth Youth Restricted Junior Restricted Junior Junior Co-Ed Senior Restricted Senior Senior Co-Ed Open Senior Senior Co-Ed International Open International Open Co-Ed ALLSTAR PREP Tiny Prep Mini Prep Youth Prep Junior Prep Senior Prep WORLDS QUAL. (NOLA only) Senior Senior Co-Ed International Open International Open Co-Ed CIRCLE ONE: Small / Large Prep Prep Division Jazz Pom HipHop Variety Prep Jazz Prep Pom HipHop Variety ALLSTAR DANCE Tiny Mini Youth Junior / Jr Coed / Jr Male Senior / Sr Coed / Sr Male Open / Open Coed / Open Male Show / Exhib. (non compete) CIRCLE ONE: Small / Large

5 WAIVER DISCLAIMER WAIVER DISCLAIMER (for Mardi Gras Spirit Events only) I acknowledge and represent that I have collected and have on file a liability waiver (signed by their legal parent/guardian) for each participant that I am registering to compete at the competition(s) held by Mardi Gras Spirit Events and/or its subsidiaries. I have verified each waiver and each parent represents that their child is in satisfactory health to participate in the activities (cheerleading, gymnastics, dance, etc.) offered by Mardi Gras Spirit Events and that they are aware of the inherent risks associated with such activities which can include paralysis and death. Each parent represents that they have health insurance coverage in effect while they compete at the Mardi Gras Spirit Event competition(s). I will make available to Mardi Gras Spirit Events a copy(ies) of these waivers immediately if requested from time to time, including at the event. I agree to keep the originals or an acceptable electronic copy of these forms until the athlete reaches the age of 18 or 7 years after they are no longer participants with this gym. I hereby acknowledge that I am an authorized representative of the business/school listed below. Program Name (please PRINT) Gym Owner/Rec. Director/School Principal Name (please PRINT) Gym Owner/Rec. Director/School Principal Signature Date Mardi Gras Spirit Events 2000 Segnette Boulevard Westwego, LA Phone / Fax or

6 CREDIT CARD PAYMENT FORM Please complete this authorization & submit with your registration. All information will remain confidential. EVENT CITY/DATE PROGRAM NAME Cardholder Name: Cardholder Billing Address: Cardholder Phone Number: Credit Card Type: VISA Mastercard AMEX Discover Credit Card Number: Expiration Date: Security code: (3 digit code on back; AMEX 4 on front) Amount to be Charged (If this total amount exceeds your daily charge limit or per transaction charge limit, please notify your bank to temporarily increase the limit in order for this transaction to process.) I authorize Mardi Gras Spirit Events to charge the agreed amount listed above to my credit card provided herein. I agree that I will pay for this registration in accordance with the issuing bank cardholder agreement. Cardholder Print Name, Sign and Date Below: Name: Signed: Dated: