WHEN: Contact the gym at (Kyle Black) AGES: All ages. TIME: Contact Kyle Black to schedule your time

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1 ! TKO ALL-STAR TRY-OUTS FOR THE SEASON WHEN: Contact the gym at (Kyle Black) AGES: All ages TIME: Contact Kyle Black to schedule your time NOTE: Try-out typically will last about 30 minutes from the time you arrive. FEE: TKO ALL-STAR FROM SEASON - $ 25 NEW TKO ALL-STAR ATHLETES - $35 PRIVATE TRY-OUT AVAILABLE FOR ANY ATHLETE $45 NOTE: Choreography will be July 17-22, Times to be announced.

2 TKO TRY-OUT APPLICATION Attach photo here Cheerleader Name: Try-out Date: NOTE: All the information BELOW must be completed before try-out. Placement on a team will NOT be made until ALL conditions below have been met. There is NO guarantee that all cheerleaders will be placed on a TKO team. Birth Certificate Provided Circle One Birth Certificate On File. Registration form (both sides)and AUTO DRAFT completed for the season (Pink Form). Current Photo attached (ANY NEW CHEERLEADER) No outstanding tuition or competition balance owed to TKO from previous years. Try-out Fee $25/$35/$45 Paid Ck # CC Cash Previous All-Star Cheerleading Experience ( If Any) Gym Name Year Team Name Level Number of Years Position on Team I understand that my selection to a TKO All-Star Team will be made by TKO coaches and staff based on skills demonstrated at try-outs and positions that are available on the team. A level placement will be made after try-outs are completed. Additional skill checks will be given prior to the final team placement, therefore an athlete may improve on his or her skills from the initial try-out and move up a level. With my selection to a TKO All-Star Team, I understand the financial obligations that go along with it. These fees including monthly tuition, competition fees, choreography, practice wear, and uniform fees MUST be paid according to the payment schedule and are NOT refundable if the cheerleader leaves the program. Your practice days can fall on Monday, Tuesday, Wednesday, Thursday, Friday, OR Sunday. With the number of teams at TKO, each of the days listed above will be used for team practices. We will no longer guarantee a certain day. Please understand that TKO is a huge commitment of time and financial responsibility. Parent Signature I would prefer to be on which team: (Please check) Full-Year Team (Compete in 6/7 competitions including three 2 day competitions both in state and outside (typically in Florida, Tennessee, South Carolina, or North Carolina) - Cost approximately $ including uniform cost of $320 (Last Year). ALL fees are due by December 1st. In addition to the competition fees above- tuition cost of $105 is paid monthly. Half Year Team (Compete in 4 competitions all of which are local)- Cost approximately $ 750 including uniform cost of $ 215 ( Last Year). ALL fees are due by December 1st. In addition to the competition fees above- tuition cost of $85 is paid monthly. Either Team would be OK/ Whichever team you feel would be best. *CHOREOGRAPHY DATES FOR JULY 17-22, Please do not schedule vacations or other activities during this time frame as choreography is MANDATORY for all All-Star Teams.

3 ! TKO CHEER PARTICIPANT AGREEMENT/RELEASE PARTICIPANT NAME: 1. I give my approval for the above named student s participation in any and all activities of the TKO CHEER program and I am entering into such programs of my own free will. 2. I hereby forever waive, and forever release and discharge, TKO CHEER, their officers, directors, and employees from all liability for any and all damages and injuries suffered by the participation in connection with said use of the aforementioned equipment, instructors, and facilities. 3. As a student, parent or guardian of a student, it is my option to consult a physician for assurance of proper health. TKO CHEER encourages each student to complete a physical examination prior to participation in this activity. 4. I authorize the representatives of TKO CHEER to provide any emergency medical services that may be required due to an injury during any activity at or for TKO CHEER. 5. I understand and acknowledge that the activity my child is about to engage in poses known risks and unanticipated risks which could result in injury, paralysis, emotional distress, or damage to property, or to third parties. The wearing of ear-rings/body piercing accessories is included in such risks. The above statement describes some, but not all of the risks. Cheerleading, tumbling, and dance entails certain risks that simply cannot be eliminated without jeopardizing the essential qualities of the activity. Without a certain degree of risk, cheerleading, tumbling, and dance students would NOT improve their skills, and the enjoyment of the sport would be diminished. Traveling to and from shows, competitions, and exhibitions raise the possibility of transportation accidents. 6. I certify that my child has health, accident, and liability insurance to cover any bodily injury or property damage that may be caused or suffered while anticipating in this event or activity, or else I agree to bear the costs of such injury or damage to my child. I further certify that I am willing to assume the risks of any medical or physical condition that my child may have or else I am willing to assume and bear the costs of all risks that may be created, directly or indirectly, by such condition. 7. TKO CHEER assumes no responsibility whatsoever, for anything that happens before or after the student s designated class, camp, clinic, birthday party, open gym, or sleep over. 8. In the event that I file a lawsuit against TKO CHEER, I agree to do so in the state of Georgia, and further agree that the substantive law of the state shall apply in that action without regard to the conflict of law rules of the state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. 9. I hereby give my consent to all photographs, audio recordings, and/or video recording taken of my child by TKO CHEER, staff or designee. I understand that these may be used by the gym for educational, instructional, or promotional purposes. 10. By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against TKO CHEER on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and fully understand it and I agree to be bound by its terms. Print Parent/Guardian Name: Date Parent/Guardian Signature: Insurance Company: Group Number: Policy Number: Insured Name: PLEASE ATTACH A COPY OF YOUR INSURANCE CARD PLEASE COMPLETE OTHER SIDE

4 Trial class taken on:! REGISTRATION PLEASE CIRCLE ALL THAT APPLY: ALL-STARS TUMBLE CAMP STUDENT INFORMATION STUDENT NAME: SEX GRADE BIRTHDAY: / / Age as of August 31, 2016 : STUDENT ADDRESS: CITY: STATE: ZIP STUDENT CELL: HOME PHONE: MEDICAL CONDITIONS/ PAST INJURIES (If any) : EMERGENCY CONTACT: (If parents cannot be reached) : Phone # PARENT/GUARDIAN INFORMATION MOTHER ADDRESS: CITY PHONE : HOME CELL: FATHER ADDRESS CITY PHONE: HOME CELL WHO IS RESPONSIBLE FOR PAYMENT: MOTHER/FATHER MOTHER FATHER OTHER Please Initial Below for All-Stars and Tumbling ONLY Initial Please Tuition Fees: Tuition costs must be paid on or by the 8 th of each month. ALL participants will complete an AUTO DRAFT PLAN upon registration. For payments not received by the 9 th of each month, an auto draft will automatically occur to a credit card account on file. Non-Sufficient Funds: There is a $35 NSF charge for returned checks. After a returned check is processed, remaining payments must be made in the form of cash, credit card, or debit. Dropping Classes: TKO CHEER requires a minimum of 30 days written notice if you are dropping a class. If notification is not given, you are responsible for payment.

5 ! AUTO DRAFT PLAN PLEASE NOTE: You may continue to pay by check, debit, or cash ON or by the 8 th of each month. For payments NOT MADE by the 8 th of each month, an auto draft will automatically occur either to a credit or debit card account of your choice on the 9 th of the month. AUTOMATIC DRAFT AGREEMENT NAME HOME PHONE ADDRESS CITY, ZIP CODE NOTE: To stop Automatic Draft Please SUBMIT written notification 30 days prior to cancellation date. Initial Here AUTHORIZATION FOR RECURRING CREDIT/DEBIT CARD TRANSACTIONS I (we) hereby authorize TKO CHEER to initiate debit entries and to initiate, if necessary, credit entries and adjustments for any debit entries in error, to my/our Credit/Debit Card account indicated below. This authority is to remain in full force and effect until TKO CHEER has received written notification to terminate authorization. I understand and agree that my Credit/Debit Card account will be charged $ on the 9 th of each month IF PAYMENT IS NOT RECEIVED PRIOR TO THE 9 TH. CIRCLE ONE: MasterCard Visa Discover Account Number: Exp. Date: Security Code: Account Holder Name: Billing Zip Code: Signature: Date: NOTE: To stop Automatic Draft Please SUBMIT written notification 30 days prior to cancellation date.

6 ! Name: Age (0n August 31, 2016): Grade in school: School: Level 1 Skills: BASIC: SKILL: SPECIALTY: BONUS: Handstand 3/5 sec. Forward Roll Cartwheel BWO Back Extension Roll BWO Snap Down Bridge Hold Backward Roll FWO + FWO d Bridge kick over Cartwheel BWO + BWO Backbend Round-Off FW + Connection Back Walkover Round of+connection Front Walkover NOTES: Level 2 Skills: BASIC: SKILL: SPECIALTY: BONUS: Standing BHS FWO RO BHS Front Handspring RO BHS RO multiple BHS FWO round-off BWO + BHS BHS BWO BHS T jump BHS RO BHS Step out ½ turn BHS Series BHS Step Out NOTES: Level 3 Skills: BASIC: SKILL: SPECIALTY: BONUS: TT BHS Jump Combo BHS BHS FWO RO BHS Tuck Aerial Standing 3 BHS RO Tuck FWO BHS step out ½ turn to tuck RO BHS Tuck Front Punch series to tuck 4 + BHS Front Punch( roll / stand ) BHS step out through to Tuck NOTES:

7 Level 4 Skills: SKILL: SPECIALTY: NOTES: Standing Tuck Standing BHS(s) tuck Standing BHS(s) layout Jump BHS Tuck Running Layout Running Whip Combo Layout RO BHS Whip BHS Layout Front Tuck Step out RO BHS Layout _ Level 5 Skills: SKILL: SPECIALTY: NOTES: TT Tuck Full to Full Combo RO BHS Full Whip to Full Combo Standing BHS BHS Full Double Full Standing Full Full Whip Double Jumps: Height:45/60/90/120/150+ Clean Land:Y/N Good Arm /Chest Placement: Y/N Toe Touch TT TT Pike Left Hurdler Right Hurdler 3 Jump Combo 4 Jump Combo Flyers Only (Flexibility): Floor OR Step Up Drill: Short / Tall Excellent: Good: In Progress: Heel Stretch Bow-n-Arrow Scale Scorpion Needle Splits LRM Coach Notes:

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