2013 2014 ALLSTAR CHEERLEADING
5/20/2013 2:45 PM
TABLE OF CONTENTS
LETTER FROM DIRECTOR...... 3
REGISTRATION……………………………………………...... 4
EMERGENCY INFORMATION………………………………... 5
MEDICAL RELEASE…………………………………………… 6-7
MISSION STATEMENT ……………………………………...... 8
VISION STATEMENT ……………………………………...... 8
PHILOSOPHY- TEAM PHILOSOPHY……….………………… 8
WAIVER RELEASE ..……………………………………...... 9-10
PARENT PARTICIPATION……………………………………...... 11-12
SKILL LEVEL SHEET ……………………………………………… 13
PAYMENT METHODS ……………………………………………… 14
FINANCIAL REQUIREMENTS ……………………………………. 15-16
IMPORTANT DATES TO REMEMBER ……………………………….. 17
5/20/2013 2:45 PM
To All Parents:
Welcome to JAM’s Athletics Training Center, home of the Platinum Elite All-stars.
Allow me to introduce myself as Director Elizabeth Marsh. It is our pleasure to welcome you and your child to our family here at JAM’s Athletics. We look forward to the opportunity of providing quality service and to help provide a nurturing environment for your child while here at JAM’s Athletics.
We have a staff of dedicated “Coaches and Volunteer Parents” who have the desire to provide enriching, joyous, and fun filled experiences for you and your child. Our success lies heavily on the respect, cooperation and accordance we receive from you.
Please work with us so that Platinum can continue to be respected in our community, Atlanta, the State of Georgia, and nationally, as being a “First Class Operation”.
We would like to take this opportunity to introduce you to Platinum Elite All-Stars. We now hold over 100 National Titles.
Our mission is to promote physical fitness, discipline, leadership, social development and academic excellence through competitive cheerleading experiences. We are committed to our mission and we work hard to ensure a safe, fun and rewarding experience for each of our participants.
All-Star cheerleading is a competitive athletic endeavor. National competitions at this level are sometimes televised on ESPN and Fox Sports Network. During 2002, 2003, 2004 and 2005, divisions of Platinum Elite were televised as National Champions at the "World Cheerleading Association" competition held in Nashville, Tennessee. All-Star cheerleading builds more than just pyramids, it builds children. We offer each child an opportunity to build confidence and self esteem as well as develop the child's athletic skills and abilities. Cheerleaders at this level have an excellent opportunity to receive collegiate scholarships.
Train a child in the way he/she should go: and when he grows up, he/she will not depart from it:
Proverbs 22:6
Should you have a need to reach any of your Platinum staff/volunteer members, please do not hesitate to contact us at the gym:
Gym: 770.879.1733
Office: 770 469-1677
Email:
God Bless Us All!
Elizabeth Marsh
Director/Coach
Platinum Elite All-Stars
5/20/2013 2:45 PM
Reg.Form
ALLSTAR CHEERLEADING
“One Team, One Mission, One Vision”
Athlete Information
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Last First MI AGE DOB GRADE
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School Cell Phone Email
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Last First MI AGE DOB GRADE
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School Cell Phone Email
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Last First MI AGE DOB GRADE
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School Cell Phone Email
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Last First MI AGE DOB GRADE
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School Cell Phone Email
Address______City______State______Zip______
Responsible Party Information
Mother Father
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Name Name
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Address (If different from above) Address (If different from above)
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City State Zip City State Zip
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Work Phone Cell Phone Work Phone Cell Phone
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Email Email
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Emergency Information
I hereby authorize Platinum Elite All-Stars, or anyone they may designate, to treat my child(s)
for injuries or illness he/she may incur while at the Stone Mountain facility or any event/function.
I authorize necessary medical treatment and admission to any hospital designated by Platinum Elite or there designate.
It is understood the parent or their agents will be called upon to give additional authorization if advanced treatment, (MRI, Lab Test, Surgical procedures, etc..) is necessary.
I am aware as a parent or guardian of the above named participant, that I will be responsible for providing proper insurance coverage information to Platinum Elite prior to participation in all Platinum Elite programs.
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Insurance Company Policy# Group#
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Insurance Company Policy# Group#
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Insurance Company Policy# Group#
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Insurance Company Policy# Group#
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Family Physician Phone#
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Emergency Contact Phone#
How did you hear about Platinum? ______
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Parent/Legal Guardian/Guarantor Signature Date
6206 Memorial Drive, Stone Mountain, GA 30083
5/20/2013 2:45 PM
Medical Release
The following is to be filled out by the parent or guardian of the participant.
* If you are registering more than one athlete, please pick up another medical release for each child.
1. Is the participant(s) under a doctor’s care? If Yes, explain per child.
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2. Allergic to any medication? Yes No If yes, explain per child.
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3. Chronic medical conditions (i.e…diabetes, asthma, heart murmur, etc..).
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4. Should the participant limit their physical participation during athletic activities? Yes/ No If Yes, explain.
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5. Is the participant currently taking any medications? Yes/No If yes, explain.
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6. Do the participant have medical insurance? Yes/No
7. In the last year has the participant: Explain
Had a major illness? Yes No ______
Been hospitalized? Yes No ______
Had surgery? Yes No ______
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Been unconscious? Yes No ______
Had any Broken Bones? Yes No ______
Back injury? Yes No ______
Knee or ankle injury? Yes No ______
IT IS MANDATORY THAT EACH PARTICIPANT HAVE A SPORTS PHYSICAL PERFORMED BY A MEDICAL DOCTOR PRIOR TO PARTICIPATING IN THIS ATHLETIC ACTIVITY.
I hereby certify that I fully understand the following:
1. Cheerleading and development activities involve a variety of gymnastics, motions, partner stunts, rotations and heights; therefore, participation in these athletic activities involves some amount of danger and possibly personal injury. I ______(parent/guardian) totally assume the risks involved by ______(student/participant) participating in these cheerleading and developmental activities.
2. I further agree to hold harmless JAMS’s Athletics and/or Platinum Elite, and their directors and staff of any injury, which the participant may incur while being a volunteer participant in the program.
3. I agree and understand that I am fully responsible for any/all medical expenses that may arise due to the participation in this program.
STATEMENT: I HAVE READ CAREFULLY THIS MEMORANDUM, AND I UNDERSTAND AND ACCEPT THE INFORMATION AND REQUIREMENTS CONTAINED IN IT.
Parent Signature: ______Date: ______
Participant Signature: ______Date: ______
6206 Memorial Drive, Stone Mountain, GA 30083
5/20/2013 2:45 PM
MISSION STATEMENT
Our mission is to promote physical fitness, discipline, leadership, social development and academic excellence through competitive cheerleading experiences.
VISION STATEMENT
Our vision is to build a stronger child, a stronger family and a stronger community.
PHILOSOPHY
Our philosophy and top priority is building your child's confidence and self-esteem through a fitness-geared program. We believe in fitness and fun through our "Cheernastics" oriented activities. We believe that each child has the potential to be their own star in our program. The training of cheerleaders is our business.
Platinum Elite All-Stars is the best place for all ages and skill levels to participate in cheerleading. We believe that everyone is a star at Platinum. We are proud that our staff is Safety Certified and a GHSA member.
TEAM PHILOSOPHY
You can’t fly with eagles if you run around with turkeys.
Practice does not make perfect, only perfect practice makes perfect.
Excuses will never win.
The best way to improve the team is to improve your skills.
Violations are followed by penalties.
Discipline yourself and others won’t have to.
Don’t compare yourself to others, be the best you can be.
I have read this page and fully understand and agree ______
Initials
5/20/2013 2:45 PM
PLATINUM ELITE ALL-STARS, INC.
(RELEASE OF LIABILITY AGREEMENT AND MEDICAL WAIVER)
In consideration of being allowed to participate in any way in the Platinum Elite All-Star/JAM’s Athletic Competition program, Tumbling classes, Cheer technique classes, Cheerleading Boot Camp, Summer Camp, Arts & Crafts, and any related events/activities, the undersigned
acknowledges and fully understands that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions, or negligence of others, the rules of play or of the premises or of any equipment used. Furthermore, that there may be other risks not known to us or not reasonably foreseeable at this time;
Assumes all foregoing risks and accepts personal responsibility for the damages following such injury, permanent disability or death.
Releases, waives discharges and covenants not to sue Platinum Elite, it's affiliates, owners, their respective administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leasers of the premises used to conduct the activities of Jam's Athletics, all of which are hereafter referred to as 'releases' from demands, losses or damages on account of injury, including death or damage of property, caused or alleged to be caused in whole or in part by the negligence or the releases or otherwise.
I am the parent or legal guardian of
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(child/children). My child/children is fit in every way to participate in all of the activities/events performed at Platinum Elite or off-site activities sponsored by Platinum Elite. I consent to my child's participation. I HAVE READ AND I UNDERSTAND THE WAIVER AND RELEASE OF LIABILITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND I AM SIGNING IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. In consideration of allowing my child to participate, I consent to it and agree that IT'S TERMS SHALL LIKEWISE BIND ME, MY CHILD, MY HEIRS, LEGAL REPRESENTATIVES, AND ASSIGNEES. I HEREBY RELEASE AND SHALL DEFEND, INDEMNIFY AND HOLD HARMLESS THE RELEASES FROM EVERY CLAIM AND ANY LIABILITY that I or my child may allege against the Releases (including reasonable attorney's fees or costs) as a direct or indirect result of injury to me or my child because of my child's participation in the Platinum Elite activities/events and programs, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASES OR OTHERS. I PROMISE NOT TO SUE RELEASES ON my behalf or on behalf of my child regarding any claims arising from my child's participation in the Platinum Elite All-Stars, Inc. programs, activities/events
Appearance Agreement: I understand that JAM’s Athletics Inc. d/b/a Platinum Elite All-stars from time to time produces promotional material relating to its programs. I understand that as participant may be included in videotapes, DVD’s, podcasts and video casts or photographs taken during the season.
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Therefore, without reservation or limitations, I, in my own behalf and on behalf of Minor, hereby assign, transfer and grant to JAM’s Athletics Inc. d/b/a Platinum Elite All-stars, its successors, assignees, licensees, sponsors, any television networks, and all other commercial exhibitors the exclusive right to photograph and / or videotape Minor and to utilize such videotapes and photographs and Minor's name, face likeness, voice and appearance as a part of the Program or in any other media now in existence or hereafter developed, in advertising and promoting the Program, in advertising and promoting similar future events or in advertising and promotions relating to JAM’s Athletics, Inc. without reservations and limitations. I further understand that neither JAM’s Athletics, Inc. nor any third party is under any obligation to exercise any of the foregoing rights, licenses and privileges herein granted. I waive any right to inspect or approve the programs, copies thereof and any promotional materials related thereto.
*Releases includes the following: Platinum Elite, Jam's Athletics, its affiliates, owners, respective administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leasers of the premises used to conduct the activities of Platinum Elite
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Parent Signature Date
5/20/2013 2:45 PM
PARENT PARTICIPATION
· Parents and Participants are expected to display proper sportsmanship and attitude at all times. Participants will respect all adults and their peers.
· Parents are expected to be role models and supporters of all cheerleaders and coaches in our organization. Repetitive misconduct or display of poor sportsmanship or attitude will result in dismissal from the program. ALL FUNDS PAID ARE NON-REFUNDABLE/NON TRANSFERABLE.
· Distractions from parents/siblings and/or friends during practice will not be tolerated. We only have a limited amount of space in the gym and need to use practice time to prepare for competitions/performances.
· Platinum asks for your support in allowing our coaching staff complete concentration during practices in order to optimize the time allotted for practice.
· Parents are asked to follow the parking rules. Parents are not allowed to park their cars along the curb. Parents/Cheerleaders cannot double-park their cars.
· Any parent complaints must be in writing and giving to the front office staff. The Director will contact you within 48 hours.
PARENT INFORMATION
· Parents are required to pick up current information at the beginning of their child’s practice session. Please review the information.
· It is the parent’s responsibility to make sure they check with his/her coach to ensure that they have updated information pertaining to the program.
· It is the parent’s responsibility to make sure that all pertinent contact information is up to date, ex., telephone numbers – day and evening, address change, email address, etc.
PARENT CODE OF ETHICS AT THE GYM/COMPETITIONS
· The use of Platinum’s and/or JAM’s Athletics name is strictly PROHIBITED. You may not put “Platinum” and/or JAM’s on shorts, shirts, hats, bags, etc. without the prior authorization from either Elizabeth Marsh. Such disregard will result in the removal of your child from the program.
I have read this page and fully understand and agree ______Initials
5/20/2013 2:45 PM
· Parents are required to be as professional at all times.
· Parents should avoid any loud or disorderly conduct. Any disagreements within the organization should be addressed to the director, not other clients.