mkca HIP HOP MEMBERSHIP PACK 2013/14 Milton Keynes Cheerleading Academy Offering Competitive Hip Hop Dance Classes Co-founded by Miki Garrratt and Amy Thomason in 2003, MKCA is a non-profit organisation serving the Community of Milton Keynes and its surrounding area
MKCA Hip Hop Crews 07707 950204 We welcome new members throughout the year and run two principal programmes in Milton Keynes. Both of our Crews take part in national competitions through the summer, as well as perform at local events. Adult Crew - MKCA Frenzy The squad for male and female Hip Hop Dancers Aged 14+. Annual Membership (including training kit) 30.00 Monthly Class Fees 24.00 Junior Crew MKCA Mayhem The squad for juniors aged 6-14. Annual Membership (including training kit) 30.00 Monthly Class Fees 20.00 Applicable to both Crews, there will also be a requirement to buy a competition kit for the season for approx. 80-90. We hold monthly induction meetings with new members/parents/carers, where you will be given lots of useful information. If you wish, we will also add you to our closed group Facebook pages to help you keep up to date with MKCA news and events, as well as get to know other members. IF YOU ARE NEW TO STREETDANCE OR DON T WISH TO COMPETE, CONTACT US AND ASK ABOUT OUR BEGINNER CLASSES 07707 950204 Training Timetable Age Group 6-14 12+ 12+ Squad Name Coach Venue Day Time MAYHEM (Junior Hip Hop) FRENZY (Senior Hip Hop) LIMITLESS (Worlds Team) Miki Garratt Samantha Jenkins Samantha Jenkins MONKSTON COMMUNITY CENTRE KINGSTON GYMNASTICS CENTRE (Dance Studio) KINGSTON GYMNASTICS CENTRE (Dance Studio) TUESDAY Fee (monthly) 16:30-17:30 20 18:30-19:30 24 19:30-20:30 8 (or free if on competitive cheer team) The Limitless World s Team is MKCA s International Crew entered by qualifying audition only
MKCA Membership Application Page 1 Dancer s Name Date of Birth Parent/Carer s Name Address Primary Contact (MKCA will contact this person with all updates and or necessary information) Secondary Contact (will only be contacted in the event of an emergency) Post Code Home Phone Number Parent/Carer s Mobile Parent/Carer s Email Dancer s Mobile Dancer s Email Ethnicity Nationality (i.e. British) Any Medical Condition and details of any medication taken and/or special needs The emphasis in all MKCA sessions/activities is safety but please be aware that accidents do happen. Participants take part at their own risk. I hereby agree to release MKCA, it s representatives, assistants, volunteers, employees and premises management from liability for any injury to the above named person, resulting from any cause whatsoever occurring to above named person at any time while attending classes and open sessions managed by MKCA, including travel to and from activities and events, excepting only such injury or damage resulting from wilful acts of such representatives, volunteers and employees. I do voluntarily authorise MKCA staff to administer and/or obtain routine or emergency diagnostic procedures, and/or routine or emergency medical treatment for the above named person as deemed necessary in medical judgement. I agree to indemnify and hold harmless MKCA and/or staff, assistants, designees from any and all claims, demands, actions, rights of actions, and/or judgements by or on behalf of the above named person arising from or on account of said procedures and/or treatment rendered in good faith and according to accepted medical standards. Signed. To be signed by a parent/guardian if under 18 years of age Print name
MKCA Membership Application Page 2 Squad Choice Please tick ONE Squad Age Group Monthly Fee* Tick ADULT FRENZY CREW 12+ 24.00 JUNIOR MAYHEM CREW 6-14 20.00 *payable monthly in advance on 1 st of every month by standing order (see form in pack) Training Kit Order Clothing item/size: Please enter your sizes below T-SHIRT sizes age 5-6;7-8;9-11;12-13;14-15; adult sm; adult m; adult l SHORTS sizes child xsm; child sm; child m; child l; adult sm; adult m; adult l; adult xl First Payment to Accompany Application Membership Fee 30.00 Balance of first month s class fees (please ask MKCA to calculate for you if unsure) Total payment (cheques payable to MKCA) or cash
MKCA Membership Application Page 3 Standing Order Instruction This instruction needs completing for the monthly payment of class fees. Once completed, please hand this form back to MKCA for processing, or request our bank details so that you can set up with your bank online. Instruction to your Bank / Building Society to pay by Standing Order To the Manager Name of Bank/Building Society... Branch Address... Post Code... Account Name... Bank Sort Code: Bank Account Number: Please pay: Name of Bank Milton Keynes Cheerleading Academy Lloyds TSB Bank Sort Code Bank Account Number Under the reference... (IMPORTANT: Dancer s Full Name) The monthly class fee sum of... Date of first payment 1 st 19 Account Holders Signature... Date...
MKCA Membership Application Page 4 Parent/Carer s Contract Dancer s Name I understand that as a Parent/Carer I must: Show an active interest in the team s progress and show respect to others. Be willing to contact and discuss, with staff, issues concerning my child and team relations at an appropriate time. Arrive, with my child in full kit, on time to practice, events and competitions. Provide my child with adequate refreshments for practice, events and competitions. Collect my child, on time, from practice, events and competitions. Inform staff of any medical requirements or special needs my child has and update them as appropriate. Pay all fees on time and agree to the amount due as a membership fee. I have read and agree to follow the above guidelines. I understand that MKCA reserve the right to refuse my child from practice, events and competitions if these guidelines are not adhered to. I do/do not agree to photos being taken of my child for promotional purposes* (*delete as appropriate). Parent/Carer s Signature... Date... Dancer s Contract I agree that as an MKCA Dancer I must: Be dedicated to the team by committing time to practice, events and competitions. Show good sportsmanship at all times. Always perform to my best ability. Arrive on time in full kit. I understand that failure to adhere to all MKCA rules and guidelines may lead to exclusion from the team. Dancer s Signature... Date...