Rec Prep Registration Packet
2017-18
www.advancedcheerallstarz.com
https://www.facebook.com/ACCstarz
A.C.C. Rec Prep Registration Checklist
(print)
All the following MUST be turned in BEFORE your evaluation day and time. I understand that if I do not present these forms, my child may not be allowed to tryout.
____Team application form
____Birth certificate
____Waiver form
____ Parent contract agreement form
_____ Text @accrec to 81010
____ Credit Card/ Bank account form (optional)
____ $50 monthly fee (paid by August 17th)
ACC Rec Prep
Team Application (print)
Name ______age ______
DOB ______Grade entering fall 2017 ______
List any pre-existing medical conditions or injuries ______
______
______
Address______
______
______
CAN WE TEXT THIS #? (CHECK ONE)
NAME / NUMBER / YES / NOPARENT 1
PARENT 2
ATHLETE
**PLEASE SEND A TEXT TO THE NUMBER 81010 WITH THE MESSAGE @accrec TO BE ADDED TO OUR TEXT GROUP. YOU WILL RECEIVE INFORMATION AND REMINDERS THROUGH THIS SERVICE. YOU WILL BE ABLE TO MESSAGE BACK AT ANYTIME AND IT WILL NOT BE SEEN BY THE GROUP ONLY THE ADMIN OF ACC :D
(print this page and return)
* Advanced Cheer Crew Allstarz *
Participation Agreement Waiver
Including Assumption of Risk and Release From Liability
I, ______desire to participate & compete in the Advanced Cheer All Starz Cheer Program.
1. I understand that participating in the sport of cheerleading is entirely voluntary and involves physical exertion and the risk of consequential injury. I realize that any sport activity involves some elements of risk, which I agree to assume. I will conduct myself in a safe and prudent manner while participating in the sport. Moreover, I am fully informed or otherwise aware of, and full assume all risks to person or property in connection with my participating in the sport (including, but not limited to damage and loss of property, bodily injuries, medical treatment and death).
2. I am in good physical and mental health and do not have any physical or mental conditions which could affect my ability to participate in the sport. I am also aware that Advanced Cheer Coaching Staff/ and or affiliates will call 911 for emergency situations.
3. I have medical insurance coverage appropriate for my participation in the sport and have provided emergency contact information to the Advanced Cheer All Starz owner/ coach. I understand and agree that Advanced Cheer All Starz shall not provide any insurance for me in connection with my participation in this sport.
4. I including my parents, heirs, executors, administrators and assigns do hereby agree and will release, indemnify and hold harmless Advanced Cheer All Starz, its employees, agents, successors and assigns, singularly and collectively, from and against any blame and liability for any injury, harm. Loss inconvenience or any other damage of any kind whatsoever, which may result from or be connected in anyway to my participation in the sport.
5. I hereby give permission to Advanced Cheer All Starz Program to use my name and any photograph taken of me during the Program, without compensation, in any promotional materials and publications, imprint or any digital medium (e.g. website), related to the activities of Advanced Cheer All Starz. I further understand that Advanced Cheer All Starz coach/owner and other coaching staff, does not assume responsibility for any loss, injury or damage to person or property in connection with the sport, including transportation to and from, which results from causes beyond the control of, and without fault or negligence of Kristi Shaw-DBA Advanced Cheer All Starz and will not be legal responsible to me for any death injuries, losses, expenses, inconveniences, delays of property damage that I may suffer as a result of such travel arrangements or activities.
6. I absolve, indemnify, defend and hold harmless Kristi Shaw and Coaching staff DBA- Advanced Cheer All Starz from any breach of these representations.
I HAVE READ AND UNDERSTAND THE ABOVE PROVISIONS AND AGREE TO BE BOUND TO THE TERMS FOR ACADEMIC YEAR, AS INDICATED BY MY SIGNATURE BELOW.
If participant is under the age of eighteen (18), Signature of parent or legal guardian must sign:
______
PARENT/ LEGAL GAURDIAN SIGNATURE DATE
______
CHEERLEADER/ PARTICIPANT SIGNATURE DATE
A.C.C. Parent Contract Agreement
Student name ______
Parent name ______
* Please initial each line stating that you understand the policy *
______Monthly dues are due by the first practice of every month..
(example: Sept. fees will be due by sept 5th/ 6th depending on my athletes practice times.)
______I understand that if there are any dues not paid on first practice of the month it will result in a Charge to my card or the checking account if I so choose to put one on file.
______If any other fees given to me (uniform, bow, competition fee, etc.) are not paid on or before date given to me, it will result in a charge to my credit card or checking account if I so choose to put one on file.
______I understand that should, my check I write for monthly dues or the bank debit transaction from my signed agreement for monthly dues or any other ACC expense, comes back from my bank as unpaid, I will be responsible for paying $38 in addition to the amount of the check.
______If a check or bank transaction comes back as unpaid, ACC will no longer accept checks from me for the entire year, I will be required to pay the rest of the year in cash.
______I understand that my commitment with ACC is September 2017 through May 2018. If I chose to quit the team, it does not release me from my financial obligations agreed upon. I will continue payment until May 2018, including all competition fees and monthly dues.
______I understand that the decisions of team placement for my child are at the coaches discretion of the coaches made for the best of the whole gym. I agree that I will not question their decisions on team placement or placement of my child in the routines.
______I understand that my athlete is to wear a black top/ tank top and black spankies/ shorts and white cheer shoes to practice. No street shoes will be allowed on the cheer mats.
______I understand that my cheer shoes will not be worn outside of the gym or competition arena.
______If my cheerleader has to miss practice for a school sponsored event, coaches need to know at least one week in advance. Please email days to
______I understand that I or any other visitor will NOT sit in the gym to watch practices. There is a sitting area for parents and visitors upstairs.
______If my child has to miss practices for ANY reason in the two weeks prior to competing, it will be at the discretion of the coaches on whether or not my child will perform at the upcoming competition.
______All fundraisers completed with the group or on my own using the ACC name, will give 10% of all profits to the gym. NO FUNDRAISING REPRESENTING ACC FOR ANY individuals may be done unless it has been approved with Coach/Owner prior to. The owner of the gym reserves the right to advertise each fundraiser as she sees fit! All costs for this advertisement will come out of profits.
______If a check I receive for a fundraiser that comes back as unpaid, I will be responsible for collecting the amount of the check PLUS the $38 bank fee otherwise, this amount will come out of the profits I make from that fundraiser.
______I understand that all Rec prep teams will walk in the Arkalalah parade. Athletes will wear ACC gear or black/ purple gear. Parade date will be October 28th, time is TBA.
______I understand that my Athletes team will perform at atleast one competition and at the end of the year showcase. (teams arrival and performance times are TBA after team placements have been announced)
______I understand that there will be a competition fee for the competition we will attend.
______I understand that travel arrangements for my athlete to the competition will be my responsibility.
______24 hours prior to a competition I am not to contact the coaches regarding items forgotten (ex. Shoes, hair bow, uniform). I am to take care of these issues myself. This excludes emergencies including hospital visits and things of that nature.
______For up to 24 hours following a competition I am not to contact the coaches about concerns regarding events at the competition. (ex: a parent upset with something that was said or done by the coaches or other parents at the competition.)
______All hair coloring must be a neutral/ natural color unless otherwise pre-approved by coach Kristi.
______If for any reason my child’s competition fee is not paid prior to him/ her competing, any award won for that competition will not be given out until fee is paid in full.
______My child is to have white no show socks to compete in.
______I understand that after competing at the competition my athlete must continue practicing for the April/ May 2018 showcase.
______I understand that I will not make any post on any social media website negatively regarding ACC, its coaches, cheerleaders or anything that happened at a practice or competition.
______I understand that if I send the coaches any picture, tag them on a picture or upload one to our ACC parents page, I am giving them rights to use that picture for any ACC promotion, flyer or social media.
______I understand that I will not use the Advanced Cheer Crew, ACC name or any team name in my social media name without permission from the owner first.
Parent signature Date
Participate signature Date
***(optional)***
**Advanced Cheer Crew 2017-2018 Account Payment Information **
Cheerleader Name______
Person Responsible for Payment______Billing Address ______
City ______State ______Zip ______
A valid credit card number or a current checking account number MUST be given at the time of registration as a payment method.
(Please initial)
1. ______Monthly tuition in the amount of ______is due on the 25th of the month before (i.e. June’s payments will be due on May 25th). Any monthly tuition not paid by the due date, will be subject to charge on my credit card or ACH debit from my checking account.
2. ______Any other fee assessed by Advanced Cheer Crew must be paid by the date specified in the notice of said fee.
Authorization Agreement for ACH Transactions/Credit Card Transactions—if you do not want automatic, sign #7---must have a credit card or checking account on file
3. I ______(name on the account listed below) hereby authorize Advanced Cheer Crew to initiate debit entries/charges and to initiate, if necessary, credit entries and adjustments for any debit entries in error to my ______checking ______savings account (select one) or my credit card indicated below and the depository named below, to debit and/or credit the same to such account.
4. I understand that if any payment processed is either returned as unpaid or not able to be processed, I will be charged an additional $38 fee.
5. I understand that all automatic debits will recur on the last day of each month and will be for payment of the following months tuition.
6. I understand that automatic debits will begin on __June 1st__, 2017.
7. ______I do not agree to ACH debits and promise to pay by check or cash NO LATER THAN THE LAST DAY OF EVERY MONTH PRIOR TO THE DUES BEING DUE. (Initial if applicable)
8. I ______(name on the account listed below) hereby authorize Advanced Cheer Crew to initiate a one-time debit entry/charge to the below account on the 1st day of the month for the total amount of tuition if my check or cash payment is not received by the last day of the previous month.
This authority is to remain in full force and effect until Advanced Cheer Crew has received written notification from me of its termination in such time and in such manner as to afford Advanced Cheer Crew and my Bank a reasonable opportunity to act on it.
Depository (Bank) Name (must provide voided check) Credit Card Information (a 4% fee will be added)
Name of Bank______Type of card______
Address______Number ______
City ______State _____ Zip ______Expiration date ______
Routing number ______CVV ______
Account Number ______zip code______
I understand that all information provided by me in this document is true and correct. I understand that it is up to me to let Advanced Cheer Crew know if any information on this page changes and these policies will stay in effect for the 2017-2018 Competition year.
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Printed Name Date
______
Signature