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TUMBLING ONLY

Learn tumbling skills at your level and pace with our tumble-only option.
Your child can join in at any time.
Simply register and join in at the next class!

Pricing- $95 Due on the 1st of each Month. Includes access to level appropriate weekly classes.
There is a non-refundable registration fee of $50 due at the time of enrollment.

TUMBLING LEVELS

LEVEL 1 - Tuesday 6:30-7:30
No experience necessary

LEVEL 2/3 Thursday 5:00-6:00
Unassisted back handspring is required to attend this class

Level 4-6 Thursday 7:30-9:00
Round off back handspring layout required

CHEER ELITE ALLSTARS
CLASS REGISTRATION

1. Parent/Guardian First Name

1. Parent/Guardian Last Name

Parent/Guardian cell phone

Parent/Guardian Email

Street Address

City

State

Zip

Parent/Guardian Work Phone

2. Parent/Guardian Last Name

2. Parent/Guardian First Name

2. Parent/Guardian Email

2. Parent/Guardian cell phone

Parent/Guardian Work Phone

1. Athlete First Name

1. Athlete Last Name

Athlete Age

Athlete Date of Birth

Second Athlete First Name

Second Athlete Last Name

Second Athlete Date of Birth

Second Athlete Age

Third Athlete First Name

Third Athlete Last Name

Third Athlete Age

Third Athlete Date of Birth

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

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

Relationship

Cell Phone

Work Phone

Secondary Emergency Contact

Relationship

Cell Phone

Work Phone

Preferred Local Hospital

Policy Number:

Insurance Company

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:

How did you hear about us?

Social Media

Google Search

Radio Ad

TV ad

Printed Flyer

Spotted us at an event

Reccomended by a friend

Recruited by a coach

Parent or Legal Guardian Signature

If you were recommended by a friend or coach, please include their name:

info@cheereliteallstars.com

(336) 814-9214

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TUMBLING ONLY

TUMBLING LEVELS

LEVEL 1 - Tuesday 6:30-7:30 No experience necessary

LEVEL 2/3 Thursday 5:00-6:00 Unassisted back handspring is required to attend this class