Tiffany’s Cheer & Dance TRY OUT FORM 2018(Please attach current photo to this form!)

Name______Date of Birth______Age as of August 31st, 2018______‘18-‘19 Grade ______Height______

Parent Email address ______

Parents/Guardian’s Name______

Home Address ______City ______Zip______

Home Phone _____-_____ Work Phone ______-_____ Cell Phone ____-______

I, ______(Parent name) understand the risks of gymnastics, cheerleading, and dance and will follow Tiffany’s Safety Rules. I will not hold Tiffany’s Cheer & Dance Studio liable for any injury sustained during participation in cheer/dance tryouts held by Tiffany’s Cheer & Dance Studio.

Signed ______Date ______

Have you done all star before? ___Yes ___No If so, where? ______

If you have cheered before what level team were you on? ______

______School Cheerleader YES NO if YES FB BB If you have not had your bball school tryouts but plan to try out please circle BB.

At which stunt position do you have experience? NONE, FLYER, BASE, BACKSPOT

* Please select what teams you are auditioning for or that are your age group.

□ Elite Cheer Champions (2 hour, 1.5 hour practices 5-7 competitions)

  • Summit Cheer Champions ( 3 hour, 2 hour practices 6-8 competitions. Coaches place athletes on this team, not all who check the box will automatically be placed onto the summit team.)

□MiniDance Champions (Ages 6-9)

□ Youth Dance Champions (Ages 10-12)

□ Junior Dance Champions (Ages 13-15)

□ Senior Dance Champions *Worlds team (Ages 16-18)

□ Open Dance Champions * Worlds team (Ages 14 and up)

If you are not 100% sure of making a commitment to the Cheer/Dance Champions program but your child is auditioning please check this box. List Why: ______

______

* A Cheer Registration Payment of $45.00 if registered by April 4th. $55 April 21st. *Credit Card & Cash will be accepted for this payment. Your child can not tryout unless this fee is paid. Dancers Only: $40 fee due at placements. Those auditioning for both cheer and dance only pay the cheer fee.

Tiffany Only RF Fee Paid: YES NO

T- Shirt size: 6/6x YS YM YL AS AM AL