Payment and Registration must arrive BY the listed date. Early Bird Registration: By March 1, 2012
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1 Feel the power Info package + Registration forms info@allthingscheer.com (0ATC), Ext. 1 allthingscheer.com It s Show Time! Feel the Power: Sunday, April 15th 2012 Location: Ladner Leisure Centre 4600 Clarence Taylor Cres Delta, BC V4K 33 Canada CANADIAN Registration Cost: Early Bird: $15 per athlete Regular Registration: $18 per athlete US Registration Cost: Early Bird: $20 per athlete Regular Registration: $25 per athlete Registration Deadlines: Payment and Registration must arrive BY the listed date. Early Bird Registration: By March 1, 2012 Regular Registration: After March 1, 2012 Late Registration: NO LATE FEE! Admission: Children 3 & Younger: Free Children 17 & Under w/ ID: $5 Adults 18+: $10 Senior Citizen/Military w/id: $5 Students w/id: $5 Admission is CASH ONLY, NO REFUNDS, NO ECEPTIONS All registrations are due on 03/30/12. No gym or personal checks will be accepted. Acceptable forms of payment are cashiers checks and CREDIT cards. Parking: Free Cross over fee: $10 per athlete Individual: $50 per athlete Partner & Group Stunt: $20 per athlete High School: $200/team Coaches Fee: 2 FREE coaches per team $15/ coach
2 Feel the power Info package + Registration forms info@allthingscheer.com (0ATC), Ext. 1 allthingscheer.com Competition Registration Packet All Things Cheer Canada 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 All Star, Recreation and School cheer & dance. Please complete the forms and mail or fax to ATCC. The final date for registration is MARCH 30, Mail: All Things Cheer Canada (ATTN: Registration), 1031 Brunette Ave, PO Box 57600, Coquitlam, BC V3K 1E0 Fax: or We look forward to seeing you at the next ATCC competition! Registration Steps STEP 1: Provide one person for point of contact. Include name, , phone number and mailing address. All confirmation material and schedules will be addressed to this person. Confirmation material will be sent out two weeks prior to an event. Schedules are posted online at the Monday before the event. STEP 2: Each team is required to have one (1) Code of Conduct signed by the head coach and submitted at the time of team registration. The ATCC Code of Conduct is part of the Registration Packet. STEP 3: Please 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. Please remember this FTP Event allows TWO coaches FREE per team. Additional Coaches will be required to pay $15 per additional coach. STEP 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. STEP 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. All Star teams will follow IASF rules. School and Recreational teams will follow BCCA rules. STEP 6: The Total Cost of a team s registration (including Travel and Non-Travel Packages) will be calculated by participant, crossover, coaches and late fees, as well as additional coaches fees. Please fill in the Total Cost form accordingly. STEP 7: Release and waiver forms. Please have each participant fill out the release and waiver form and bring all completed forms with you to event registration. Payments: Payment information is required at the time of registration. Fax or mail completed registration with full payment. Payments may be made by Visa, MasterCard, American Express, Discover, Cashiers Check or Money Order. Please note service fees may apply on some credit cards. School purchase orders are also accepted for school team registration payment. No personal or gym checks accepted. Registration and payment will be returned if a personal check is received.
3 (0ATC), Ext. 1 ALLTHINGSCHEER.COM INFO@ALLTHINGSCHEER.COM STEP 1 CONTACT INFORMATION 2012 Registration Form ALL STAR, DANCE, REC TEAM FP Organization Name Contact Name Mailing Address City Prov. Postal Code Phone number Cell Fax address (Confirmation and schedule will be sent to) website STEP 2 CODE OF CONDUCT In an effort to provide a positive, fair and professional competition, All Things Cheer Canada has implemented a Code of Conduct for all of their events. This Code of Conduct is to be followed by all coaches, competitors, family and friends, or anyone else associated with below stated program. As the coach of the cheerleaders/dancers, I agree to the following guidelines. RULES/REGULATIONS/SPORTSMANSHIP 1. I have read, understand and will abide by all ATCC 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 ATCC rules and regulations. I understand that any violation of these rules and regulations could result in a penalty, point deduction, or disqualification. 5. I will abide by the age and/or grade requirements (IASF/BCCA 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 ATCC Staff member or judge will result in a penalty point deduction as well as forfeiting the coach s right to protest or review 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 ATCC reserves the right to remove any persons from the competition for unsafe or unsportsmanlike actions. Force Majeure: All Things Cheer Canada 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 fo 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 Coach s Signature Date
4 2012 team roster One roster per team STEP 3 TEAM INFORMATION (0ATC), Ext. 1 ALLTHINGSCHEER.COM INFO@ALLTHINGSCHEER.COM FP Team Name Division Coaches *FTP Event allows TWO coaches free per team. Additional coaches must pay coaches fee. ALL coaches must be accounted for. STEP 4 TEAM ROSTER Please provide participant name with grade and date of birth. Please place a C next to participant s name to indicate crosovers. NAME DOB NAME DOB
5 2012 Registration Form STEP 5 DIVISIONS AND PARTICIPANTS FP Organization Name Level 1 total Males Crossovers Level 2 total Males Crossovers Level 3 total Males Crossovers Special Needs total Males Crossovers Special Needs (Any Age) SPRING FLOOR REC CHEER DIVISIONS Level 2 total Males Crossovers Open (17 & Under) Level 4 total Males Crossovers Open (17 & Under) Totals below should be the number of athletes competing, including Males and Crossovers. HIP hop total Males Crossovers Tiny (6 & Under) Mini (9 & Under) Youth (12 & Under) Junior (15 & Under) Open (14 & Older) JAZZ total Males Crossovers Tiny (6 & Under) Mini (9 & Under) Youth (12 & Under) Junior (15 & Under) Open (14 & Older) all star cheer divisions all star dance divisions NON SPRING FLOOR REC CHEER DIVISIONS Level 2 total Males Crossovers Open (17 & Under) Level 4 total Males Crossovers Open (17 & Under) Level 4 total Males Crossovers Level 4.2 total Males Crossovers Level 5 Restricted total Males Crossovers Level 5 total Males Crossovers Senior (12-18 Years) International (14 & Older) Level 6 total Males Crossovers International (17 & Older) pom total Males Crossovers Tiny (6 & Under) Mini (9 & Under) Youth (12 & Under) Junior (15 & Under) Open (14 & Older) open total Males Crossovers Tiny (6 & Under) Mini (9 & Under) Youth (12 & Under) Junior (15 & Under) Open (14 & Older) high school divisions Varsity total Males Crossovers Small (12 & Under Members) Med (13-16 Members) Large (17-20 Members) Super Large (21-35 Members) Jr Varsity total Males Crossovers Small (20 & Under Members) Large (21 & Up Members) The list is a complete menu of divisions offered by the IASF. All Things Cheer Canada provides the right to combine and split divisions based on the number of teams registered. All Things Cheer Canada also requires that birth certificates and medical waivers are collected at time of check in at an event. For All Star divisions the age of the competitor as of August 31, 2011 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 IASF age guidelines. Please list any participant as a crossover for the second or third team that they cross to.
6 (0ATC), Ext. 1 ALLTHINGSCHEER.COM INFO@ALLTHINGSCHEER.COM 2012 non travel package registration only FP STEP 6 Event Total Cost Event Name Event total cost = Competition Total # of Participants Competition Rate + Crossover Total # of Crossovers Crossover Rate + Additional Coaches Total # of Additional Coaches Additional Coaches Rate + + Individual Total # of Participants Competition Rate = Stunt Group Total # of Participants Competition Rate = $ Team Total # of Teams School Team Rate = GRAND TOTAL PAYMENT VISA MASTER CARD AME DISCOVER CASHIERS CHECK # Payment with credit card may be subject to transaction fee NO PERSONAL OR GYM CHECKS ACCEPTED - CASHIERS CHECK ONLY Credit Card Number Exp. Date Security Code Name on Card Billing Address City Prov. Postal I, authorize All Things Cheer Canada to charge the deposit and balance amounts provided in step 2. I am registering my organization for an ATCC 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 Cheer Canada with all medical waivers and birth certificates upon check in at the event. Signature Required Date Payments and cancellations: All payments must be received at time of registration. Please contact the ATCC office for procedures regarding deposits and late payments in order to avoid a late penalty. Payments received after the deadline posted on the ATC website will incur a $50 per team late fee. Cancellations for any reason must be provided in writing 4 weeks prior to the event to be eligible for a refund. No cancellations by phone. Refunds will be issued 4 weeks after the written cancellation is received. Send registration: By Mail: All Things Cheer Canada (Attn: Registration), 1031 Brunette Ave, PO Box 57600, Coquitlam, BC V3K 1E0 By Fax: or
7 RELEASE AND WAIVER FORM CA STEP 7 Release and waiver form Please complete all of the sections of this Release and Waiver Form. This agreement must be filled out in full, in order to participate. This form must be signed by a parent or guardian. Cheerleading is a vigorous athletic activity that includes tossing, falling, running, jumping, stunting, building, pyramids, tumbling, and dancing. Due to the nature of this type of activity, the possibility of injury and even death could occur. By signing this agreement, you agree that your child (from this point on to be known as minor ) is physically active and fit to participate in this activity and has no known medical conditions that may compromise the safety of the minor, other participants and facilitators of the event. Event Location: Event PERSONAL INFORMATION Participant s Last Name: Participant s First Name: Organization/School Name: Date of Birth: Home Phone: Current Grade: Cell#: Address: City: Province: Postal Code: In case of an emergency please notify: Name: Relationship: Phone Number: MEDICAL INFORMATION Health Care/Insurance Provider: Health Card #: 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 any 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 parent or legal guardian of, a Minor, here by grant the permission necessary to allow Minor to participate in the above event to be conducted by All Things Cheer Canada I, in my own behalf and behalf of the minor, further agree to release and to hold harmless All Things Cheer Canada, the hosting site (gym, school, hotel, university, theme park) on whose premises the event will occur (here inafter the Location ) the affiliates of All Things Cheer Canada and the Location, and the respective doctors, officers, representatives, members, agents and employees of All Things Cheer Canada, the Location and their representative affiliates (hereinafter collectively Releases ) from any and all liability whether caused by the negligence by the releases or otherwise for any claim judgment, 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 Releases and Releasees heirs, successors, assigns, executors, and administrators against loss from any character resulting to Minor in any way from the foregoing activites. 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 behalf of the Minor, am aware that this Liability Release releases Releasees from liability and contains an acknowledgement of my voluntary and knowing assumptiuon 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 on behalf of the Minor, have signed this document voluntarily and of my own free will. Liability Signature: 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 I, 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 Cheer Canada 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 exercises 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 of the Minor for any illnesses 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: Appearance Agreement I understand that All Things Cheer Canada 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 in 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 Cheer Canada, 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 Cheer Canada 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 on behalf of the minor verify that the date of birth of the minor is accurate and truthful. By signing this I agree to not allow the Minor to be placed in an age division that is not appropriate by the applicable governing body standards including but not limited to AACCA, NFHS, USASF, IASF and BCCA. I hereby warrant that I have read this Participant Release and Waiver form in its entirety and fully understand its contents. I am aware that this Participant Release and Waiver form 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 Participant 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 and Age Verification Signature: Witness Signature:
8 RELEASE AND WAIVER FORM US STEP 7 Release and waiver form Please complete all of the sections of this Release and Waiver Form. This agreement must be filled out in full, in order to participate. This form must be signed by a parent or guardian. Cheerleading is a vigorous athletic activity that includes tossing, falling, running, jumping, stunting, building, pyramids, tumbling, and dancing. Due to the nature of this type of activity, the possibility of injury and even death could occur. By signing this agreement, you agree that your child (from this point on to be known as minor ) is physically active and fit to participate in this activity and has no known medical conditions that may compromise the safety of the minor, other participants and facilitators of the event. Event Location: Event PERSONAL INFORMATION Participant s Last Name: Participant s First Name: Organization/School Name: Date of Birth: Current Grade: Medical Insurance Provider: SS# : Home Phone: (not required but helpful for quick verification of insurance by hospital) Cell#: Address: City: State: Zip: In case of an emergency please notify: Name: Relationship: Phone Number: MEDICAL INFORMATION Medical Insurance Provider: Policy#: Provider Address: City: State : Zip: Provider Phone Number: 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 any 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 parent or legal guardian of, a Minor, here by grant the permission necessary to allow Minor to participate in the above event to be conducted by All Things Cheer I, in my own behalf and behalf of the minor, further agree to release and to hold harmless All Things Cheer, the hosting site (gym, school, hotel, university, theme park) on whose premises the event will occur (here inafter the Location ) the affiliates of All Things Cheer and the Location, and the respective doctors, officers, representatives, members, agents and employees of All Things Cheer, the Location and their representative affiliates (hereinafter collectively Releases ) from any and all liability whether caused by the negligence by the releases or otherwise for any claim judgment, 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 Releases and Releasees heirs, successors, assigns, executors, and administrators against loss from any character resulting to Minor in any way from the foregoing activites. 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 behalf of the Minor, am aware that this Liability Release releases Releasees from liability and contains an acknowledgement of my voluntary and knowing assumptiuon 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 on behalf of the Minor, have signed this document voluntarily and of my own free will. Signature: 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 I, 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 Cheer 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 exercises 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 of the Minor for any illnesses 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: Appearance Agreement I understand that All Things Cheer 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 in 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 Cheer, 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 Cheer 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 on behalf of the minor verify that the date of birth of the minor is accurate and truthful. By signing this I agree to not allow the Minor to be placed in an age division that is not appropriate by USASF Division Standards or N.F.H.S. Standards. I hereby warrant that I have read this Participant Release and Waiver form in its entirety and fully understand its contents. I am aware that this Participant Release and Waiver form 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 Participant 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 and Age Verification Signature: Witness Signature:
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