FALL MINI SESSION

Not ready to commit to one of our competitive teams yet but still want to be a part of our program? No worries!
Join us for a 4 week mini session for only $69!

Learn to jump, stunt, tumble and MORE!

*This program is for ages 6-12*

Thursdays 6:45-7:30pm

October 17-November 14th

No Practice on Halloween

Fill out the registration form below to get started!

CHEER ELITE ALLSTARS
Mini Session Registration

1. Parent/Guardian First Name

Parent/Guardian cell phone

Street Address

State

Parent/Guardian Work Phone

2. Parent/Guardian First Name

2. Parent/Guardian cell phone

Parent/Guardian Work Phone

1. Athlete First Name

Athlete Age

Athlete Date of Birth

Second Athlete First Name

Second Athlete Age

Athlete 2 Date of Birth

Third Athlete First Name

Third Athlete Age

Athlete 3 Date of Birth

1. Parent/Guardian Last Name

Parent/Guardian Email

City

Zip

Occupation

2. Parent/Guardian Last Name

2. Parent/Guardian Email

Occupation

1. Athlete Last Name

CHECK BOX to be invoiced $15 for a Cheer Elite Tshirt

Second Athlete Last Name

CHECK BOX to be invoiced $15 for a Cheer Elite Tshirt

Third Athlete Last Name

CHECK BOX to be invoiced $15 for a Cheer Elite Tshirt

Tell us some fun facts about your athlete(s)/family

Please list any expereice your athlete has with cheer and tumbling

Cheer Elite Allstars Waiver & Release of Liability

I hereby authorize the staff at Cheer Elite Allstars to act for me/my child according to their best judgment in any emergency requiring medical attention, and hereby waive any and all claims for personal injury, illness, and/or property damage against Cheer Elite Allstars and its directors, officers, agents, employees, contractors, representatives and any volunteers in any way associated with Cheer Elite Allstars. I agree and understand that participation in cheerleading, tumbling, or any other activity that involves motion, rotation, and/or height, carries with it the risk of injury. I agree and understand that all medical expenses incurred will be the responsibility of the parent or guardian. In lieu of a medical certification signed by a medical doctor, I state that I have no knowledge of any physical injuries or impairment that would be affected by the named child’s/children’s participation in any program at Cheer Elite Allstars.

Cheer Elite Allstars cannot assume responsibility for children left unattended in the facility operated by Daliana Dance or Cheer Elite Allstars. All children, attended or unattended, are expected to respect cheer/tumble gym property and other cheer/tumble gym patrons. Under no circumstances does Cheer Elite Allstars assume any liability for injuries, accidents or any mishaps, whatsoever, which may occur when a child is left unattended, including, but not limited to intentional torts committed by or against the child. In the event that any liability results out of intentional torts committed by an unattended child, liability shall be borne by the parent/guardian(s) of such child.

I recognize that potentially serious injuries, including paralysis or death, can occur in any Cheer Elite Allstars activity, inside or outside of the gym. This includes camps, competitions, exhibitions, performances, travel, and/or any activity involving height, motion, gymnastics, dance, cheerleading and all other Cheer Elite Allstars classes. I understand and accept this risk and any medical expenses shall be my responsibility. I hereby release Cheer Elite Allstars and its owners and employees from all liability for any injury.

I also expressly grant Cheer Elite Allstars or any approved third party of Cheer Elite Allstars the right to film, videotape, photograph, or record my child/children. I give Cheer Elite Allstars the irrevocable right to use, display, digitally enhance and/or alter in any manor the film, videotape, photograph or record of my child/children and use in any promotional activities to include, but not limited to, broadcast, television, cable, motion picture, videotape, DVD, CD, or any published articles.

I agree and understand that jewelry is not to be worn during any class or practice while at Cheer Elite Allstars. I also understand and agree that if asked to remove jewelry, I or the said athlete(s) will be responsible for the security of that/those items. Cheer Elite Allstars is not responsible for items that are lost, stolen or damaged.

Parent or Legal Guardian Signature

Emergency Contact Form

Primary Emergency Contact Name

Cell Phone

Secondary Emergency Contact

Cell Phone

Relationship

Work Phone

Relationship

Work Phone

Preferred Local Hospital

Insurance Company

Policy Number:

Please list any allergies that your athlete has

Please describe any existing injuries or limitations:

Please list any allergies that your athlete has as well as any information you would want an emergency care provider to know:

Parent or Legal Guardian Signature

Thanks for submitting! You are now officially registered for our Fall Mini Session!

FALL MINI SESSION

CHEER ELITE ALLSTARS Mini Session Registration

Cheer Elite Allstars Waiver & Release of Liability

Emergency Contact Form

CHEER ELITE ALLSTARS
Mini Session Registration