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TUMBLE ONLY PROGRAM

Not ready to commit to one of our competitive teams yet but still want to be a part of our program? No worries!
We offer a tumble only program that allows you to tumble with us all season long for just $95 a month!

*This program is for ages 4 & up - birth year 2020 or before*

Mondays:

Level 1 (ages 4-7): 6:00pm - 6:45pm

Level 1 (ages 8 & up): 6:45pm - 7:45pm

Level 2 & up (all ages): 7:45pm - 8:45pm

*must have unassisted back handspring to attend level 2 class*

Fill out the registration form below to get started!

Tumble Only Registration

1. Parent/Guardian First Name*

1. Parent/Guardian Last Name*

1. Parent/Guardian Cell Phone*

1. Parent/Guardian Email*

1. Parent/Guardian Occupation*

1. Parent/Guardian Work Phone*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

2. Parent/Guardian First Name

2. Parent/Guardian Last Name

2. Parent/Guardian Cell Phone

2. Parent/Guardian Email

2. Parent/Guardian Occupation

2. Parent/Guardian Work Phone

1. Athlete's First Name*

1. Athlete's Last Name*

1. Athlete's Birthday*

Month

Day

Year

1. Athlete's Age*

1. Athlete's Shirt Size*

2. Athlete's First Name

2. Athlete's Last Name

2. Athlete's Birthday

2. Athlete's Age

2. Athlete's Shirt Size

3. Athlete's First Name

3. Athlete's Last Name

3. Athlete's Birthday

3. Athlete's Age

3. Athlete's Shirt Size

Please list any experience your athlete has with cheer and tumbling:*

Emergency Contact Information

Primary Emergency Contact Name*

Relationship*

Cell Phone*

Secondary Emergency Contact Form*

Relationship*

Cell Phone*

Preferred Local Hospital*

Policy Number

Please describe any existing injuries or limitations:*

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

Product*

I agree to pay the non-refundable annual registration fee. *$65

How did you hear about Cheer Elite Allstars?

Multi choice*

Social Media

Google Search

Radio Ad

Spotted us at an event

Recommended by a friend

Recommended by a coach

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

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.

I agree to all of the above waiver and release of liability statements.

Parent/Guardian Signature*

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info@cheereliteallstars.com

(336) 814-9214