CHEER CHALLENGE FUNdamentals and Fall Prep League Registration Form

CHEER CHALLENGE FUNdamentals and Winter Prep League Registration Form
Information Packet. Click to view.
Which program are you registering for? *

FUNdamentals - Exhibition teams Fall All-Star Prep League - 2 Competitions
Athlete Name *

First Name Last Name
Grade for the 2020-2021 school year *
Age *
Date of Birth *

Month Day Year
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Primary E-mail *
Secondary E-mail
Parent Name 1 *

First Name Last Name
Parent Name 2

First Name Last Name
Home Phone

Area Code Phone Number
Cell Phone #1 *

Area Code Phone Number
Cell Phone #2

Area Code Phone Number
Emergency Contact

First Name Last Name
Emergency Contact Phone Number

Area Code Phone Number
Medical Insurance Company
Please list any allergies
Does your child use an inhaler for asthma (if YES, please make sure your child has it with them at all practices and competitions)

YES NO
Treatment/Publicity/Liability Release:

I authorize any licensed physician to render necessary emergency treatment for injury or serious illness when neither parent can be reached and will assume all financial responsibility for such treatment. I acknowledge that the above participant must have his/her own medical insurance. I understand that cheering camps, competitions, practices, clinics and gymnastics equipment have an inherent danger in participation and that in spite of all precautions and accident preventatives, accidents do occur. I further acknowledge that each participant has elected to participate in Cheer Challenge All-stars, Inc. at their own risk and will not hold Cheer Challenge All-stars, Inc., their employees, Branchway LLC, or any hired clinicians or instructors liable in any way if an injury or illness occurs, to include illness due to a pandemic.

The undersigned does hereby grand Cheer Challenge All-stars, Inc and its successors, the unrestricted right to use the undersigned’s name, likeness, or appearance on any Cheer posters, calendars, photography, flyers, video material, websites, or similar promotional material to promote or market Cheer Challenge All-stars, Inc.

The undersigned does hereby expressly release and waive any demand, action, claim, license, royalty, or other form of payment to the undersigned, and his or her agents, representatives or assigns, may have based on claims of the undersigned as to rights of privacy, publicity, notoriety or any other rights arising out of or relating to any use by Cheer Challenge All-stars, Inc. of the undersigned’s name, likeness, or appearance.
Signature *

Clear
Date Signed *

Month Day Year

CREDIT CARD PROCESSING FORM
Parent Name: *

First Name Last Name
Athlete Name: *

First Name Last Name
Please choose: 1. Monthly tuition only on the 20th of each month. Beginning January 1, 2021. *
I understand and agree to allow Cheer Challenge All-Stars, Inc. to charge my card that I have provided on the separate Credit Card Processing Form.
Signature *

Clear
Date Signed *

Month Day Year

CHEER CHALLENGE SOCIAL MEDIA POLICY
Do to ever increasing social media sites, we are implementing a Social Media Policy for all Cheer Challenge athletes, parents, and coaches.

Social media can be a greaat tool for communication as well as a place to highlight pictures, videos, post positive comments, and offer motivation for the teams and athletes. However, social media also has a darker side that can be used to promote poor sportsmanship and an outlet for internet bullying.

We as a gym are taking all efforts to stop any negative social media posts. As a member of Cheer Challenge, all posts to any social media sites involving the CCA gym, members, or staff must be positive. No member, staff, or parent may post negative videos, pictures, or statuses that involve and CCA athlete, staff member, or fellow parents to any social media site. Any posts that are detrimental to the CCA gym will also not be allowed.

Please remember that all posts are permanent and instant. If you feel that you are about to post something negative, please take a minute to think about what image you are putting out there for the world to see! Posting to social media is the exact same as saying it out loud. Be responsible!

Member Pledge:

I pledge to keep all of my social media posts positive pertaining to any CCA athlete, coach, or parent. I pledge to never post any mean or unsportsmanlike comments, pictures, or videos about my gym or any of my teammates. I understand that if I do any of these things, I will be called in for a meeting and I must delete the post/picture/video. I understand that if this behavior contiues, I will be suspended from practice and may be removed from my team.
Signature *

Clear
Date Signed *

Month Day Year

If we do not have a birth certificate on file, please upload here or turn in to the front desk.

Browse Files

Cancel of
REGISTRATION OPTIONS:

FUNdamentals OR Fall Prep League: $25

My Products

Registration $ 25.00

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Registration Effective Date:

Month Day Year
Should be Empty:

CHEER CHALLENGE FUNdamentals and Winter Prep League Registration Form

CHEER CHALLENGE FINANCIAL AGREEMENT 2020

CREDIT CARD PROCESSING FORM

CHEER CHALLENGE SOCIAL MEDIA POLICY

REGISTRATION OPTIONS: