OTS Bellevue Registration acket 2014 DATE: 30th January - 1st February, 2015 LOATION: Meydenbauer enter 11100 NE 6th St. Bellevue, WA 98004 RIING: ALL STAR HEER AND DANE REGISTRATION OSTS: Regular Registration: $80 per athlete Late Registration: $90 per athlete rossover fee: $50 per athlete *rossover fees apply to same category - cheer to cheer, dance to dance ROAD TO WORLDS: Only Level 5 Teams ompeting for a Bid *lease read AT's bid declaration through the link below for eligibility requirements* IN REGION TEAMS: in region teams that attend a OTS regional and meet the necessary bid eligibility requirements. In region teams that are compliant are eligible for ALL bids (2 aid and four partial) Regular: $100 Late: $115 OUT OF REGION TEAMS: out of region teams do not have a OTS regional within 200 miles of their gym and therefore cannot attend a regional. They must bring a minimum of four teams to the International hampionship. Out of region teams that are compliant are only eligible for three bids (1 paid and 2 At Large) $150 Registration $165 Late Registration AND Must book hotels through the hosted hotels room links High School Division, Individuals, artner + Group Stunt hampionships osts: (Friday Night Only) $300 per team for High School, Middle School and Elementary Teams Individuals: $45 artner Stunts: $75 Group Stunts: $125 ALL STAR RE AND REREATIONAL TEAM OSTS: Regular Registration: All Star rep $30 per athlete (Saturday Only) Late Registration: All Star rep $40 per athlete (Saturday Only) Regular Registration: Recreational $25 per athlete (Friday Night Only) late Registration Recreational $35 per athlete (Friday Night Only) oaches Fees: 1 Free oach er Team $45 each additional coach *You must have a coaches pass to go in the warm up room and coaches room ADMISSION: ER DAY One Day ass: Adults Or W/ Out ID $20 Students/Military/Senior itizens 65 plus (all with ID) $18 Kids 3 and Under FREE Admission is ASH Only Two Day ass Adults Or W/ Out ID $35 Students/Military/Senior itizens 65 plus (all with ID) $33 Kids 3 and Under FREE Admission is ASH Only REGISTRATION DEADLINES: Regular Registration: must be received before January 2, 2015 Late Registration: after January 2nd, 2015 All payments are due by January 16, 2015. ayments at registration (door) will have an additional $100 late fee Three Day ass Adults Or W/ Out ID $45 Students/Military/Senior itizens 65 plus (all with ID) $43 Kids 3 and Under FREE Admission is ASH Only AGE 1
AGE 2 - HOW TO REGISTER All Things heer and Dance (AT) is excited that your team(s) will be joining us for a competition during the 2014-15 season. Attached is the registration form for all levels and teams including Recreation and School heer and Dance. lease complete the forms and email or mail them to AT. Mail: All Things heer and Dance (ATTN: Registration) 2810 S. 24th St. #101 hoenix, AZ. 85034 Email: 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, email, 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 two weeks prior to an event. Schedules are posted online at www.allthingscheer.com one week prior to an 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 $45 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 www.allthingscheer.com 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 send this in by the 7th of September 2014. Failing to provide an athlete waiver form will result in the athlete being ineligible to compete. AYMENTS: All major credit cards. heck - Only Bank issued or cashiers checks will be accepted. lease make payable to: All Things heer and Dance 2810 S. 24th St. #101 hoenix, AZ. 85034 AGE 2
AGE 3 - REGISTRATION FORM Organization Name ontact Name Mailing Address ity State Zip ode hone# Email Address Website STE 2 - ODE OF ONDUT In an effort to provide a positive, fair and professional competition, All Things heer Dance Australia 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 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
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 date of birth. lease place a next to the participant s name to indicate crossovers. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 17. 18. 19. 20. AGE 4
602-275-5086 www.allthingscheer.com STE 5- DIVISIONS AND ARTIIANTS REGISTRATION FORM 2014-2015 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 1 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 2014-2015 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
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 STE 5B - TEAM ROSTER lease provide participant name with date of birth. lease place a next to the participant s name to indicate crossovers. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 17. 18. 19. 20. AGE 6
AGE 7 - REGISTRATION FORM STE 5 - SEIALTY ROUTINES SEIALTY ROUTINES Team Name Age/Division ategory Level/Genre TEAM ROSTER lease provide participant name with date of birth. lease place a next to the participant s name to indicate crossovers. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 17. 18. 19. 20. AGE 7
AGE 8 - NON TRAVEL OST STE 6 - OST OF TEAM NON TRAVEL AKAGE Event Name # of articipants ompetition Rate # of rossovers rossover Rate # of Additional oaches Additional oaches Rate # of articipants ompetition Rate # of articipants ompetition Rate = + + + = = ompetition Total ompetition Total Additional oaches Total Individual Total Stunt Group Total artner Group Total # of Teams Late Registration Fee (if applicable) = 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 may be subject to transaction fee NO ERSONAL OR GYM HEKS AETED redit ard Number Exp. Date Security ode Name on ard Billing Address 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 emailed to the address provided. I will provide All Things heer and Dance Australia 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 regarding deposits 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@allthingscheer.com AGE 8
RELEASE AND WAIVER FORM AGE 9 STE 7 - RELEASE AND WAIVER FORM lease complete all of the sections of this Release and Waiver Form. This agreement must be fill out in full, in order to participate.this form must be signed by a parent or guardian. heerleading 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 phyically 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. 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: olicy# ity: State: Zip: rovider hone 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 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 2014-2015. 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