Regional Qualifier Cheer Team Registration Form 2014-2015 Fax Registration, Roster, & Code of Conduct Forms to (281) 764-5144 by the Registration Date. MAIL REGISTRATION FORMS & PAYMENT to: Cheer USA Championships, P.O. Box 1548, Huffman, Texas 77336-1548. (No phone in registration. NO individual checks Allowed! Checks will only be accepted from Gyms, Booster Clubs, and Schools) Make checks payable to Cheer USA Championships IF PAYING BY CREDIT CARD - DOWNLOAD CREDIT CARD AUTHORIZATION FORM AND FAX TO: 281-764-5144 Please fill out form completely: Gym/School Address: City: State: Zip: Coach Name: Coach Phone # s: (Morning) (Evening) Email Address: Please provide an Email Address to receive updates on the competition schedule and Receipt for payment of Registration! PLEASE CHECK THE BOX THAT APPIES TO YOUR GYM! *Number of Athletes (Cheer) in Gym O 75 or Less Athletes* O 76 or More Athletes* O November 8, 2014 (Galveston, TX) O December 6, 2014 (Galveston, TX) O January 24, 2015 (Galveston, TX) SEE WEBSITE FOR EARLY BIRD, & FINAL REG. DATES Forms MUST be post marked by the DEADLINE to HONOR EB FEES! 1 *The participant s age as of August 31, 2014 will be the determining factor for Age Divisions for All-Star Teams. *The participant s grade will be the determining factor for Age Divisions for School / Youth Rec Teams. Name of Team(s) All-Star, School Rec., Show, Etc. Grades/Age High / Low Team Age Division Tiny, Mini, Youth, Jr. Prep, Varsity, Senior, etc Team Ability Level 1, 2, 3, 4, 5, 6 Ex. Team USA Elites All-Star 12 th -Under Junior Level 3 1 32 Cross over # of team 2 3 4 5 6 7 8 (Crossover Athletes MUST pay for 1 st team; discount granted for additional teams after 1 st ; FOR EX. A TEAM THAT REG. EARLY WITH A CO. THE TEAM MEMBER WILL PAY $50 FOR 1 ST TEAM & $35 FOR each team after 1 st TEAM.) TOTAL Number of cheerleaders participating in Team Events # 1 = All-Star / School / Dance Teams; 2 = All-Star Prep & Rec. Teams (1) Early Bird Fee - $50 per participant Cheer Teams; (1) Final Fee - $60 per participant Cheer Teams; (2) Early Bird Fee - $40 per participant Cheer Teams; (2) Final Fee - $50 per participant Cheer Teams; Show Teams - $40 per participant Parent Teams - $30 per participant (Fee includes: Spectator Pass & Performance) FREE - Special Athlete Teams Indicate Number of Coaches Passes - Only two FREE per team each additional coach pass cost. Crossover Athlete MUST Pay full price for 1 st team, discount will be granted for each team after 1 st ) Athletes that perform on more than one cheer team. From the SAME gym, SAME event Crossover. Count the CROSSOVER after 1 st Main Team. CO = Cross Over *NO CROSSOVER TEAM MEMBERS SKIP THIS SECTION* Count Crossover after the 1 st team ONLY # X $50 per participant 1 # X $60 per participant 1 # X $40 per participant 2 # X $50 per participant 2 # X $40 per participant # X $3O per participant # X $O per participant # X $2O per add. Coach #of CO X $35 = $ EB #of CO X $45 = $ F Sub - Total Registration Due: $ Insert total from Individual National Registration Form Here (IF ANY): $ * REMEMBER THIRD FAMILY MEMBER DISCOUNT APPLY TO NATIONAL FEES ONLY Total Due $
Regional Qualifier Dance Team Registration Form 2014-2015 Fax Registration, Roster, & Code of Conduct Forms to (281) 764-5144 by the Registration Date. MAIL REGISTRATION FORMS & PAYMENT to: Cheer USA Championships, P.O. Box 1548, Huffman, Texas 77336-1548. (No phone in registration. NO individual checks Allowed! Checks will only be accepted from Gyms, Booster Clubs, and Schools) Make checks payable to Cheer USA Championships IF PAYING BY CREDIT CARD - DOWNLOAD CREDIT CARD AUTHORIZATION FORM AND FAX TO: 281-764-5144 Please fill out form completely: Gym/School Address: City: State: Zip: Coach Name: Coach Phone # s: (Morning) (Evening) Email Address: Please provide an Email Address to receive updates on the competition schedule and Receipt for payment of Registration! PLEASE CHECK THE BOX THAT APPIES TO YOUR GYM! *Number of Athletes (Cheer) in Gym O 75 or Less Athletes* O 76 or More Athletes* O November 8, 2014 (Galveston, TX) O December 6, 2014 (Galveston, TX) O January 24, 2015 (Galveston, TX) SEE WEBSITE FOR EARLY BIRD, & FINAL REG. DATES Forms MUST be post marked by the DEADLINE to HONOR EARLY BIRD FEES! Name of Team(s) *The Division (age) of a team is determined by the age of the oldest competitor. All-Star, School Grades/Age Team Age Division Dance Category Rec., Show, Etc. SEE GUIDELINES Tiny, Mini, Youth, Etc., Show, Hip Hop, Etc. Cross over # of team 1 Ex. Dance USA Elites All-Star 18 yrs. - Under Senior Hip Hip 1 36 2 3 4 5 TOTAL Number of cheerleaders participating in Team Events # 1 = All-Star / School / Dance Teams; 2 = All-Star Prep & Rec. Teams USE THIS SECTION FOR DANCE TEAMS FIRST ROUTINE (1) Early Bird - $50 per dancer/first routine Dance Teams; (1) Final - $60 per dancer/first routine Dance Teams; (2) Early Bird - $40 per dancer/first routine Dance Teams; (2) Final - $50 per dancer/first routine Dance Teams; THIS SECTION APPLIES AFTER FIRST DANCE ROUTINE (SAME TEAM MEMBERS) (1) Early Bird - $40 per dancer/second routine (SAME TEAM) (1) Final - $50 per dancer/second routine (SAME TEAM) (2) Early Bird - $30 per dancer/second routine (SAME TEAM) (2) Final - $40 per dancer/second routine (SAME TEAM) *EX. OF FEES ABOVE. Team A will perform 2 routines with 15 members. 15 x $90 = $1350 Early Bird Rate Crossover Athlete MUST Pay full price for 1 st team, discount will be granted for each team after 1 st ) Athletes that perform on more than one dance team. From the SAME gym, SAME event Crossover. Only count the CROSSOVER after 1 st Main Team. The MAIN team is the team the Crossover will pay FULL Price for. **NO CROSSOVER TEAM MEMBERS SKIP THIS SECTION CO = Cross Over Only two FREE coaches passes per dance team $40 per participant - Show/Exhibition Teams (Fee includes: Competition Fee & Spectator Pass) - $30 per participant Parent Teams FREE - Special Athlete Teams Sub Total Due: 1.) $ Insert total FEES from Individual Registration Form Here: 2.) $ TOTAL AMOUNT DUE Here: 3.) $ # X $50 per dancer = # X $60 per dancer = # X $50 per dancer = # X $50 per dancer = # X $30 per dancer = Count Crossover after the 1 st team ONLY #of CO X $35 = $ EB #of CO X $45 = $ F # X $20 add coach = # X $30 per parent = # X $O FREE
Individual Regional Competition Form 2014-2015 Fax Registration, Roster, & Code of Conduct Forms to (281) 764-5144 by the Registration Date. MAIL REGISTRATION FORMS & PAYMENT to: Cheer USA Championships, P.O. Box 1548, Huffman, Texas 77336-1548. (No phone in registration. NO individual checks Allowed! Exception: The Individual check will be allowed 2 weeks prior to the event. Checks will only be accepted from Gyms, Booster Clubs, and Schools). Make checks payable to Cheer USA Championships Please fill out form completely: PAYING BY CREDIT CARD - DOWNLOAD CREDIT CARD AUTHORIZATION FORM AND FAX TO: 281-764-5144 Gym/School Address: City: State: Zip: Coach Name: Gym/School Phone #: Gym/School Fax #: Coach Phone #: (Morning) (Evening): Email Address: Individuals will automatically accumulate points towards High Point. Cheer USA Championships will take the individual scores from the 2014-2015 Competition Season and add them together. The Individual with the Highest Points from 2 Regional Events plus Nationals. Will be named the High Point Winner within their division at Nationals. MUST COMPETE IN 2 DIVISIONS TO QUALIFY. REGIONAL CASH QUALIFIER Event Dates Below: O November 8, 2014 (Galveston, TX) O December 6, 2014 (Galveston, TX) O January 24, 2015 (Galveston, TX) Individual National Championship February 20, 2015 Austin, TX Champion Jackets One-day event Use the Nationals form to Register for Individual Nationals! O Individual performing with a team O Individual performing without a team Individual(s) (First, Last Name) Please Print Clearly; Name the way you would like it to appear on the performance schedule. List: Couples, Group, Partner Stunts behind one another by SAME numbers. List AGE as of August 31, 2014 Female/Male Age of Individual Best Cheerleader Elite Best Cheerleader Best Cheer Group Cheer Only Spirit Leader Power Tumbling Partner Tumbling Power Jumps Jr Partner Stunt 14 & under Sr Partner Stunt 12-18 Stunt Group Y/Jr/Sr/Co-Ed Mascot Best Dancer Combo Best Dancer Hip Hop Best Dancer Lyrical Best Dance Group Total # of Events Total Amount 1 Ex. Tyra Taylor Early Bird Rate F 12 1 2 3 3 160 2 3 4 5 6 7 8 9 10 11 12 13 14 Individuals pay per performance per division/event! Total Number of Individuals participating in Individual Divisions # Early Bird Fees - $60 X Individuals 1 st Divisions; $50 X Each divisions after 1 st = Final Fees - $70 X Individuals 1 st Divisions; $60 X Each divisions after 1 st = **Add Total Amount to Team Registration Form if teams are competing** Total Amount $
CHEER USA CHAMPIONSHIP, LLC TEAM ELIGIBILITY ROSTER 14-15 Complete information below Please list School/Gym Name the way YOU prefer it to be announced and appear on the schedule. Team / Gym Name: Event Attending: Age Division / Level: Coach/Gym Owner Name: Email Address: Cell Phone: PARTICIPANT S NAME (Print Clearly),the name, as you want it to appear on performance schedule Age as of Aug. 31. X T Size M/F AGE PARTICIPANT S NAME (CONT.) X EX. TAYLOR SMITH F 6 EX. JOHN SMITH M 15 1 21 2 22 3 23 4 24 5 25 6 26 7 27 8 28 9 29 10 30 11 31 12 32 13 33 14 34 15 35 16 36 17 37 18 38 19 39 20 40 Please Note the follow: Remember, all accounts MUST have a ZERO balance before attending any Cheer USA Event. Participant s gifts will vary this year, events that have participants t-shirts as a gift will have limited youth sizes. Please list the crossover members on the Official Cheer USA Crossover Form. Place an X next to the crossover. In addition to submitting your USASF Official Event Roster, please complete the Cheer USA Team Eligibility Roster for additional referencing purposes. A Team Eligibility Form is needed for each participating team. If there is a change from the list please update us with a new Roster. Fax Roster s to: 281.764.5144. I certify that the above list of participants are current active members of my school/gym and meet the eligibility requirements of the specified division of the team participating. THIS FORM MUST BE SIGNED BY GYM OWNER or HEAD COACH. T Size M/F AGE X Gym Owner or Head Coach Signature Required: Date:
CROSSOVER FORM Please submit this form with Registration Forms. Duplicate this form if necessary. Crossover forms are due in office by competition deadline date along with registration forms to help ensure proper scheduling. Formatted for Scheduling Purposes; please list any team(s) which contain crossovers and the corresponding team affected. Gym Name: Coach Name: Coach Email: Coach Contact: CHEER USA WILL DO ITS BEST TO GIVE EACH CROSSOVER BETWEEN 10-15 MIN BREAK BETWEEN CORRESPONDING TEAM. PLEASE BE AWARE THAT THIS TIME COULD BE MORE OR LESS. Complete table below: TEAM NAME DIVISION CROSSOVER WITH TEAM NAME DIVISION EX: TEAM SILVER LEVEL 4 TEAM GOLD LEVEL 5 Mail to: Cheer USA Championships P.O. Box 1548 Huffman, Texas 77336 or Fax to 281-764-5144.
Code of Conduct THIS FORM MUST BE SIGNED BY COACHES & TURNED IN BEFORE THE COMPETITION SEASON/BEFORE YOUR TEAM (S) CAN PERFORM AT ANY CHEER USA EVENT. The Head Coach / Gym Owner May submit ONE Form for the entire Program. Once the Code of Conduct Form is on file it is good for the entire 2014-2015 Season In an effort to maintain a positive, safe, and professional competition, Cheer USA Championships has established a Code of Conduct for Coaches, Parents, & Athletes (Competitors). It is our belief that offering safe, positive experiences where good sportsmanship is maintained, we teach responsibility, and leadership skills needed to become successful adults. The following Code of Conduct will be upheld at each Cheer USA Championship. (Coaches) By signing you AGREE to adhere to the following guidelines list below: (please make Parents & Athletes aware of the Code of Conduct Form) NOTE: Cheer USA has witnessed un-sportsmanship behavior from the Coaches, Parents, and Athletes. Here at Cheer USA we understand that Cheerleading/Dance is becoming more & more competitive. But as a teacher, role model and performer you are still responsible for your actions. Cheer USA has decided to take action in an effort to preserve a positive atmosphere at our events: 1 st Unsportsmanship Behavior Witnessed Warning giving to the Coach/Head Coach of Team. 2 nd Unsportsmanship Behavior Witnessed 10 point penalty / or Disqualification. Rules a) I understand that there will be NO contact with the Judges from any participants, coaches, competitors, parent, or spectators during any Cheer USA Championships Event doing so could result is a penalty at the sole discretion of the judges. If a Coach has a question about his/her teams score sheet there will be a Competition Director that you will go to, then the CD (Competition Director) will direct you to the Head Judge, then and only then will you be allowed to approach a Judge. Cheer USA cannot guarantee that this process can go quickly because judges are judging and until there is time to address the Head Judge questions or concerns may have to be address at the end of the competition. b) I will read and follow all Cheer USA's safety and performance guidelines/rules. I acknowledge that violation of any could result in penalty point s deduction. c) I understand that August 31, 2014 is the NEW age for determining the participant age for Age Divisions and I will abide by the age/grade guidelines for competing divisions. I realize that at any time I may be asked to submit grade/age verification to Cheer USA competition officials, failure to do so could result in disqualification. d) I do realize that Cheer USA has no bearing on the rulings of the judges and that all of Cheer USA judges are experienced, knowledgeable, and competent. e) I realize that all complaints must be in writing and submitted at the registrations desk. ONLY Coaches can submit complaints or protests. There will be a ONE-TIME FEE of $75 at the time of the protest. If the protest is found to be in your favor, the Fee will be returned. f) I understand and that this is a competitive sport and Judge s decisions may vary from one Production Competition to another. I acknowledge that if I disagree with the Judges rulings I will present my concerns to the registration table for a consult. I will not approach the Event Coordinator/Director for answers. I understand that all concerns about rulings must be directed to the appropriate Event Representative. (Head Judge). Safety a) Athlete ID REQUIRED for 2014-15 at all USASF Sanctioned Events. b) I understand that Cheer USA Championships is a member of USASF. c) As the Coach of the cheerleaders/dancers I have read and understand all of Cheer USA safety guidelines and during competition I will not put the safety of my athletes (Cheerleaders/Dancers) at risk. I will put the interest and safety of my athletes above competitiveness. d) I understand that Cheer/Dance Competitions are very competitive and injuries can occur. I acknowledge I have been properly trained in basic technique, skill progression, and safety. e) If an injury arises I will have proper equipment available to assist my athletes. Cheer USA does not furnish tape for wrapping ankles, pre-existing injuries, etc. f) I understand that Cheer USA Championships follow USASF Rules/Guidelines and AACCA Rules/Guidelines. I clarify that I will read the different divisions that Cheer USA may offer. g) I confirm that I have been trained or have knowledge of basic technique, skill progression, and safety. I will also be sure that my athletes warm-up before every practice. Sportsmanship a) I will conduct myself in a positive manner by supporting the competition results and acknowledge that the Judge s decisions are FINAL. b) I will require that my parents, spectators, and my athletes (Cheerleaders/Dancers) conduct themselves in a positive manner as well. c) I understand that Cheer USA reserves the right to remove any and all people from any Cheer USA Event for unsafe or unsportsmanlike conduct. Including but not limited to: coaches, competitors, parents, and spectators. Division Confirmation I understand that due to the increase number of divisions being offered by different competition companies, and the difference in the names of these divisions/categories. Cheer USA Championships is asking that you complete this form to ensure that You (Coach), as well as us the Competition Company (Cheer USA Championships) has registered you in the correct division(s). Date: Age Division: Team Level: #of Participants: Head Coach (Print): Assistant Coach (Print): Head Coach Signature: Assistant Coach Signature: *The participating Gym or School may submit ONE form for the entire Program.