Spectacular Championship Spring Fiesta Registration Packet 2015

Transcription

1 Spectacular hampionship Spring Fiesta Registration acket 2015 REGISTRATION INFORMATION DATE: April 11, 2015 LOATION: omerica Theatre-hoenix 400 W. WashingtonSt. hoenix, AZ USA RIING: All Star Registration osts (heer and Dance): Regular Registration: $50 per athlete (before February 17, 2015) Late Registration: $60 per athlete (after February 18, 2015) ross over: none (crossover fees apply to same category - cheer to cheer, dance to dance) High School/Middle School/Elementary: $300 Flat Fee (per team not competing for cash prize) $25 per athlete (teams competing for $500 Grand hampionship) All-Star rep/rec: Regular Registration: $20 per athlete Late Registration: $25 Individual, artner/group Stunt: Solo/Duo/Trio: $30 artner Stunt: $60 Group Stunt: $85 oaches Fee: *1 FREE coach per team $25 each additional coach *You must have a coaches pass to enter the warm-up room REGISTRATION DEADLINES: ayment and Registration must arrive to Headquarters by the listed date: Regular registration must be received by February 17, 2015 Late registration after February 6, 2015 (All payments are due by February 6, ayments made at registration will have an additional $50 late fee) Admission: er Day Adult: $15 Students/Military/Senior itizens 65 plus (all with ID) $13 hildren Under 3: Free of harge Admission is ASH only (Admission tickets can be purchase morning of the event at the venue) AGE 1

2 AGE 2 - HOW TO REGISTER All Things heer and Dance is excited that your team(s) will be joining us for a competition during the season. Attached is the registration form for all levels and teams including Recreation, School heer and Dance. lease complete the forms and or mail them to AT. The final date for registration is April 1, Mail: All Things heer and Dance (ATTN: Registration) to 2810 S. 24th St. # 101 hoenix, AZ info@allthingscheer.com We look forward to seeing you at the next AT competition! REGISTRATION STES STE 1: rovide one person for point of contact. Include name, , phone, and mailing address. All confirmation materials and schedules will be addressed to this person. onfirmation materials will be addressed to this person. onfirmation materials will be sent out via and schedules are posted online at five to seven days prior to the event. STE 2: Each team is required to have one (1) ode of onduct signed by the head coach and submitted at the time of team registration. The AT ode of onduct is part of the Registration ackage. STE 3: lease provide Team Information for each team you register. One separate page for each team. Team Information should include the name of the team as it will be announced at competitions, as well as the name(s) of the coaches for this team. lease remember AT allows ONE coach FREE per team. Additional coaches will be required to pay $25 per additional coach. STE 4: The Team Roster should list every participant for that specific team. This includes the name(s) of the participant and their date of birth. STE 5: List team(s) in appropriate division(s), including total participant and crossover numbers. Visit for information regarding division requirements, time limits, specialty divisions and rules/regulations. STE 6: The Total ost of a team s registration will be calculated by participant, crossover, coaches and late fees, as well as additional coaches fees. lease fill in the Total ost for accordingly. STE 7: Every coach must have a waiver completely filled out for every athlete competing at an AT event. oaches must have these in hand to present at coaches registration. Failing to provide an athlete waiver form will result in the athlete being ineligible to compete. AYMENTS: ayment information is required upon the submission of your registration forms. Fax or mail completed registration with full payment. ayments made by Visa, Mastercard, American Express, Discover, ashier s heck or Money Order. lease note a 3% transaction fee will apply to ALL credit card payments. School purchase orders are also accepted for school team registration, however payment must be received 21 days prior to the event date. No personal or gym checks accepted. Registration and payment will be returned if a personal check is received. AGE 2

3 AGE 3 - REGISTRATION FORM STE 1 - ONTAT INFORMATION Organization Name ontact Name Mailing Address ity State Address STE 2 - ODE OF ONDUT In an effort to provide a positive, fair and professional competition, All Things heer and Dance has implemented a ode of onduct for all of their events. This ode of onduct is to be followed by all coaches, competitors, family and friends, or anyone else associated with below state program. As the coach of the cheerleaders/dancers, I agree to the following guidelines. RULES / REGULATIONS / SORTSMANSHI 1. I have read, understand and will abide by all AT rules and regulations. 2. I understand that competitive cheerleading or dance is an activity that presents the possibility of injury. As a coach who understands this risk, my athletes have received proper training. 3. I understand all risks and will always place more emphasis on the safety of my athletes than on competitiveness. 4. I will follow all AT rules and regulations. I understand that any violation of the rules and regulations could result in a penalty, point deduction, or disqualification. 5. I will abide by the age and/or grade requirements (USASF/NFHS Guidelines) for all divisions that my teams are competing in. I understand that I will be required to provide proper age and/or grade verification at time of check in at an event. Falsifying age and/or grade requirements will result in disqualification from competition. 6. I will accept all judges decisions as final and not question the integrity of said judges. If there is a valid protest, the head coach may file a complaint. If, for valid purpose, I register a complaint, I understand that this complaint will be addressed after the competition. 7. I understand that any action taken by a parent, family member, friend or competitor in approaching an AT Staff member or judge will result in a penalty point deduction as well as forfeiting the coach s right to protest or review the tape. 8. At all times, I will support results of the competition as I am a role model for my program. 9. I will promote fairness and demonstrate appropriate sportsmanship throughout the competition, as well as require all persons affiliated with my program to conduct themselves with the same appropriate sportsmanship. 10. I understand that AT reserves the right to remove any persons from the competition for unsafe or unsportsmanlike actions. Force Majeure: All Things heer and Dance Australia shall not be liable for failure or other delay in performance of it s obligations under any agreement to the extent such failure or delay is due to circumstances beyond its reasonable control, including, without limitation, acts of God, acts of public enemy, fires, floods, war, civil disturbance, participation, sabotage, lock-outs, labor disputes, acts of any governmental or quasi governmental authority, theme park, or any other force majeure. Head oach s Signature Date AGE 3

4 AGE 4 - TEAM ROSTER STE 3 - TEAM INFORMATION Team Name Division oaches *AT allows ONE coach free per team. Additional coaches must pay coaches fee. ALL coaches must be accounted for. STE 4 - TEAM ROSTER lease provide participant name with USASF ID # and date of birth. lease place a next to the participant s name to indicate crossovers. NAME USASF ID# DOB NAME USASF ID# DOB AGE 4

5 STE 5- DIVISIONS AND ARTIIANTS REGISTRATION FORM Organization Name ALL STAR HEER DIVISIONS *=articipant *=rossover *lease put total number of participants and crossovers for each team in the space provided Level 1 AGE ARTIIATION Senior 10 to 18 F / M 5-32 Members Level 2 AGE ARTIIATION Senior 10 to 18 F / M 5-32 Members Level 3 AGE ARTIIATION Senior 10 to 18 F / M 5-32 Members No Males Senior oed 10 to 18 F / M 5-32 Members 1+Males Level 4 AGE ARTIIATION Senior 10 to 18 F / M 5-32 Members No Males Senior oed 10 to 18 F / M 5-32 Members 1+Males Level 4.2 AGE ARTIIATION Senior 10 to 18 F / M 5-32 Members Level 5 RES AGE ARTIIATION Senior 10 to 18 F / M 5-32 Members 0-4 Males Level 5 AGE ARTIIATION Junior 14 & Under F / M 5-36 Members No Males Junior oed 14 & Under F / M 5-36 Members 1+ Males Senior 12 to 18 F / M 5-36 Members No Males Sr. Sm oed 12 to 18 F / M 5-20 Members 1-4 Males Sr. Med oed 12 to 18 F / M 5-30 Members 1-6 Males Sr. Lg oed 12 to 18 F / M 5-36 Members 1-18 Males Int. Open 15 & Over F / M 5-24 Members No Males Int. oed 15 & Over F / M 5-24 Members 1-12 Males Level 6 AGE ARTIIATION Int. Open 17 & Over F / M 5-24 Members No Males Int. oed 17 & Over F / M 5-24 Members 1-12 Males Special Needs AGE ARTIIATION Special Needs Any F / M Unlimited OEN AGE ARTIIATION Open 14 & Older F/ M 4+Members HI HO AGE ARTIIATION Tiny 6 & Under F/ M 4+Members Mini 9 & Under F/ M 4+Members Junior 15 & Under F/ M 4+Members Senior 18 & Under F/ M 4+Members Level 2 AGE ARTIIATION Senior 18 & Under F / M 5-32 Members Open 17 & Over F / M 5-32 Members ALL STAR DANE DIVISIONS JAZZ AGE ARTIIATION OM AGE ARTIIATION Tiny 6 & Under F/ M 4+Members Tiny 6 & Under F/ M 4+Members Mini 9 & Under F/ M 4+Members Junior 15 & Under F/ M 4+Members Senior 18 & Under F/ M 4+Members Level 2 AGE ARTIIATION Senior 18 & Under F / M 5-32 Members Open 17 & Over F / M 5-32 Members Mini 9 & Under F/ M 4+Members Junior 15 & Under F/ M 4+Members Senior 18 & Under F/ M 4+Members SRING FLOOR RE HEER DIVISIONS NON SRING FLOOR RE HEER DIVISIONS HIGH SHOOL DIVISIONS YES NO Varsity ompeting for Money? Level 4 AGE ARTIIATION Senior 18 & Under F / M 5-32 Members Open 17 & Over F / M 5-32 Members Level 4 AGE ARTIIATION Senior 18 & Under F / M 5-32 Members Open 17 & Over F / M 5-32 Members Dance om The list is a complete menu of divisions offered by the USASF. All Things heer provides the right to combine and split divisions based on the number of teams registered. All Things heer also requires that birth certificates and medical waivers are collected at time of check in at an event. For All Star divisions the of the competitor as of August 31, 2014 will be the age used for competition purposes throughout the season. The participant number for each team should include all original members. Every participant has an original team according to the USASF age guidelines. lease list any participant as a crossover for the second or third team that they cross to. AGE 5 Hip Hop Jazz

6 AGE 6 - REGISTRATION FORM STE 5A - HEER & DANE ROUTINES HEER AND DANE ROUTINES Team Name Age/Division heer/dance Level/Genre oed/all Girl Team Size TEAM ROSTER lease provide participant name with date of birth. lease place a next to the participant s name to indicate crossovers. NAME DOB NAME DOB AGE 6

7 AGE 7 - REGISTRATION FORM STE 5B - SEIALTY ROUTINES SEIALTY ROUTINES Team Name/Individuals Names Age/Division ategory Level/Genre oed/all Girl Team Size TEAM ROSTER lease provide participant name with date of birth. lease place a next to the participant s name to indicate crossovers. NAME DOB NAME DOB AGE 7

8 AGE 8 - NON TRAVEL OST STE 6 - OST OF TEAM NON TRAVEL AKAGE EVENT NAME = ompetition Total # of articipants ompetition Rate + ompetition Total # of rossovers rossover Rate + Additional oaches Total # of Additional oaches Additional oaches Rate + Individual Total # of articipants ompetition Rate = Stunt Group Total # of articipants ompetition Rate = artner Group Total # of articipants ompetition Rate = Team Total # of Teams Late Registration Fee (if applicable) GRAND TOTAL NON TRAVEL AYMENT VISA Masterard Amex Discover ASHIER S HEK# ayment with credit card will be subject to a 3% transaction fee NO ERSONAL OR GYM HEKS AETED redit ard Number Exp. Date Security ode Name on ard Billing Address hone# ity State Zip I, authorize All Things heer and Dance to charge the Grand Total Amount(s). I am registering my organization for an AT event and have completed and understand the registration information provided. I agree to follow the procedures for payments and balances. I understand that event confirmation materials will be ed to the address provided. I will provide All Things heer and Dance with all medical waivers and birth certificates upon check in at the event. Signature Required: Date: AYMENTS AND ANELLATIONS: All payments must be received at time of registration. lease contact the AT office for procedures regardingdeposits and late payments in order to avoid a late penalty. ayments received after the deadline posted on the AT website will incur a $50 per team late fee.ancellations for any reason must be provided in writing 4 weeks prior to an event. No cancellations by phone. Refunds for balance paid in full will be issued 4 weeks after the written cancellation is received. SEND REGISTRATION TO: info@spectacularchampionships.com AGE 8

9 AGE 9 RELEASE AND WAIVER FORM STE 7 - RELEASE AND WAIVER FORM Every athlete must have a completed release and waiver form in order to compete. These forms are to be turned in by the Gym Director at oaches heck-in the day of the event. oaches must check in RIOR to any team enters the warm up room. A new waiver must be completed for each AT competition. ERSONAL INFORMATION articipant s Last Name: articipant s First Name: Organization/School Name: Date of Birth: urrent Grade: Medical Insurance rovider: SS#: (not required but helpful for quick verification of insurance by hospital) Home hone: ell# Address: ity: State: Zip: In case of an emergency please notify: Name: Relationship: hone Number: MEDIAL INFORMATION Medical Insurance rovider: rovider Address: rovider hone Number: olicy# ity: State: Zip: Is the minor being treated for any type of medical condition? Yes or No (please circle) If YES please explain: Is the minor allergic to any known medications or suffer from allergies? Yes or No (please circle). If YES please explain: Is the minor currently taking any type of known medications? Yes or No (please circle). If YES please list the medications: RELEASE INFORMATION Liability Release: I,, as a parent or legal guardian of, a Minor, hereby grant the permission necessary to allow Minor to participate in all events conducted by All Things heer during I, in my own behalf and behalf of the minor, further agree to release and hold harmless All Things heer, the hosting site (gym, school, hotel, university, theme park) on whose premises the event will occur (hereinafter the Location ) the affiliates of All Things heer and the Location, and the respective doctors, officers, representatives, members, agents and employees of All Things heer, the Location and their representative affiliates (hereinafter collectively Releasees) from any and all liability whether caused by the negligence by the Releasees or otherwise for any claim judgement, loss, liability, cost and expenses (including, without limitations, attorney s fees and costs) arising out of or connected with the event, including any claim arising out of or connected with any illness or injury (minimal, serious, catastrophic and / or death) that the Minor may incur or sustain during the event, all activities associated with the event and while traveling to and from the site for the event whether or not the event actually occurs. I further expressly agree to indemnify and hold harmless Releasees and Releasees heirs, successors, assigns, executors, and administrators against loss from any character resulting to Minor in any way from the foregoing activities. I further agree to reimburse and to make good to Releasees any loss, or cost Releasees may have to pay as a result of any such action, claim, or demand. I, in my own behalf and on the behalf of the Minor, hereby warrant that I have read this Liability Release in its entirety and fully understand its contents. I, in my own behalf and on the behalf of the Minor, am aware that this liability Release releases Releasees from liability and contains an acknowledgement of my voluntary and knowing assumption of the risk of injury or illness. I, in my own behalf and on the behalf of the Minor, further acknowledge that nothing in this Liability Release constitutes a guarantee that the event will occur. I, in my own behalf and the behalf of the Minor, have signed this document voluntarily and of my own free will. Liability Signature: X Date: Medical Release: I, in my own behalf and on the behalf of the Minor, acknowledge and agree that such participation subjects Minor to possibility of physical illness or injury (minimal, serious, catastrophic and / or death) and that, in my own behalf and on the behalf of the Minor acknowledge that the minor is assuming the risk of such injury or illness by participating in the event. In the event of such injury or illness, I authorize All Things heer to obtain necessary medical treatment for the Minor and hereby, in my own behalf and on the behalf of the Minor, release and hold harmless Releasees in the exercise of this authority. I further acknowledge and understand that I will be responsible for any and all medical and related bills that may be incurred on the behalf and on the behalf of the Minor for any illness or injury that the Minor may sustain during the event and while traveling to and from the site for the event whether or not the event actually occurs. Medical Release Signature: X Date: Appearance Agreement: I understand that All Things heer from time to time produces promotional material relating to its programs. I understand that as participant and / or spectator of the event that I may be included on videotapes or photographs taken during the event. Therefore, without reservation or limitations, in my own behalf and on behalf of the Minor, hereby assign, transfer and grant to All Things heer, its successors, assignees, licenses, sponsors, any television networks, and all other commercial exhibitors the exclusive right to photograph and / or videotape the Minor and utilize such videotapes and photographs and minor s name, face likeness, voice and appearance as a part of the event, in advertising and promoting the event or in advertising and promoting similar future events. I further understand that neither All Things heer nor any third party is under any obligation to exercise any of the foregoing rights, licenses and privileges. Age Verification: I, in my own behalf and behalf of the Minor, verify that the date of birth of the minor is accurate and truthful. By signing this I agree to now allow the Minor to be placed in an age division that is not appropriate by the applicable governing body standards including AAA, NFHS, and USASF. I hereby warrant that I have read this articipant Release and Waiver form in its entirety and fully understand its contents. I am aware that this articipant Release and Waiver releases Releasees from Liability and contains an acknowledgement of my voluntary and knowing assumption of the risk of injury or illness. I further acknowledge that nothing in this articipant Release and Waiver form constitutes a guarantee that the event will occur and have signed this document voluntarily and of my own free will. Appearance & Age Verification Signature: X Date: Witness Signature: X Date: AGE 9