The Cupid Showdown. February 11, 2018 Hosted by Capital Area Extreme All Stars REGISTRATION FORM

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1 February 11, 2018 REGISTRATION FORM One Paid Bid to Spirit Brand s North American Spirit Tournament will be awarded to the top scoring team. Door Open at: 9:30AM Competition Starts at: 10:00AM Admission: $8 Adults $5 Students 5 and under free Competition to be held at: Middletown Area High School 1155 North Union Street, Middletown, Pa Rules & Regulations Squad s and Regulations High school teams will follow AACCA rules. All-star & Rec teams will follow the USASF guidelines. Routine should not exceed 2:30. If you are a Rec team and your routine is traditional, please contact us so we can set up a separate division if your routine is NOT all to music. Stunt Group and Individual Competitions Stunt groups must consist of no more than 5 members. Partner Stunts may consist of no more than 2 individuals and an extra spotter. Each group will have 1 ½ minutes to perform their routine. Jump-off and Tumble-off will be available for $5. Sign up the day of competition. Awards Top Scoring team will receive a Paid Bid to Spirit Brands s North American Spirit Tournament. All teams in every division will receive a banner. The top three stunt groups and the top three individuals in each division will receive awards. The highest scoring team will win championship t-shirts. Top three teams in each division will receive bids to the North American Cheer Competition sponsored by Spirit Brands in Atlantic City, New Jersey May 5 6. Refund Policy- All registration fees are nonrefundable. Questions A tentative schedule will be ed to the provided on your registration form Monday before the competition. A final schedule will be ed Thursday morning. If you have any questions, please

2 The Cupid Showdown February 11, 2018 REGISTRATION FORM Squad Name Contact Person (required to receive schedule) Address Phone Number Website Color / Mascot s Number of Members Females Males All Star/Rec Levels Number of Coaches Additional Coaches Each team receives two coaches free; additional coaches is $8 A roster of teams and signed waiver forms are required School s Junior High (9th grade and below) JV (11th grade and under) Varsity (9th 12th grade) All-Star s/ Rec s Tiny Novice (3 6 years old) Tiny (5 6 years old) Mini (5 8 years old) Youth (5 11 years old) Junior (5 15 years old) Senior (10 18 years old) Open (14 and older) All-Star Prep s Tiny Prep (5 6 years old) Mini Prep (5 8 years old) Youth Prep (5 11 years old) Junior Prep (5 14 years old) Senior Prep (10 18 years old)

3 Individuals Cost $30 Name Name Name Stunt Groups Cost $50 Partner Stunting Cost $40

4 Payment Form Team Registration Early Bird Before October 31, 2017 Team Registration On Time before November 15, 2017 Team Registration Late December 1, 2017 Number of Participants Number of Participants Number of Participants Cost per Team $130 Cost Per Team $140 Cost Per Team $150 TOTAL DUE TOTAL DUE TOTAL DUE Individuals Stunt Groups Partner Stunts Number of Individuals Number of Participants Number of Participants Amount Per Participants $30 Amount Per Participants $50 Amount Per Participants $40 TOTAL DUE TOTAL DUE TOTAL DUE Squad Name School / Organization Total Amount Enclosed Checks should be made payable to Capital Area Extreme and mailed to: Tammy James 16 Faye Road Middletown, Pa 17057

5 WAIVER FORM Must be filled out EACH participant Participants will not be able to compete without a signed waiver. Please mail or hand in waivers at the registration table on the day of the event. I give my daughter/son permission to participate in the Extreme Holiday Cheer Challenge hosted by Capital Area Extreme. I understand that with any competitive sport there are inherent risks involved, including catastrophic injuries. I agree to hold Capital Area Extreme and the Steelton Highspire School District harmless for any injuries/illnesses to my child. In case of injury, parent/guardian(s) are responsible for all medical treatments and expenses. By signing below both the participant and I verify that I am the parent or guardian of the participant named above, that I have read and understand the conditions of this medical release. I further acknowledge that I am fully aware of the dangerous nature of the sport my child is partaking in and will hold only myself liable for any resulting illness or injury (minimal, serious, or catastrophic). Participant s Printed Name School/Team Participant s Signature Parent/Guardian Signature Date

6 TEAM ROSTERS Each team must submit a roster PRIOR to competing TEAM NAME DIVISION Name M/F Date of Birth

7 Crossover Roster (if this roster is not enclosed, accommodations can t and will not be made for crossovers) ORGANIZATION S NAME: Cheerleader s Name Team 1 Team 2 Example Sally Junior / 2 Senior / 3 Coach