2021-2022 ShowTwirlers Registration Form

2021 - 2022 SHOWTWIRLERS REGISTRATION FORM

Thank you for your interest in joining our twirling family. Our passion for the sport of baton twirling runs deep and we love nothing more than sharing it with others! We hope you'll consider joining us for the upcoming year. For more information please email theshowtwirlers@gmail.com.
Are you a new or returning student?

New Returning
If you are new, how did you hear about us? If you are returning, what are any specific goals, suggestions, or things you are looking forward to this coming year?
Twirler's First Name
Twirler's Last Name
Twirler's Email Address (If they have one. If not, leave blank! )
Twirler's Cell Phone Number (If they have one. If not, leave blank!)
(xxx-xxx-xxxx)
Street Address
City
State
Zip code
Twirler's Age as of September 1, 2021
Twirler's Birthdate

Month Day Year
T-Shirt Size

Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL
Current School
Current Baton Size
Current Shoe Size
Would you like to order any of the following?

Baton ($32) Shoes ($44) ShowTwirler Warm Up Jacket
Guardian's First Name
Guardian's Last Name
Guardian's Relationship

Mother Father Grandmother Grandfather Aunt Uncle
Guardian's Email Address
Guardian's Cell Phone Number
(xxx-xxx-xxxx)
Class / Team Registration
What would you like your involvement to be? (You may select all that apply) *

Weekly Private Lessons ($25 for 1/2 hour; $40 for 1 hour) Group Lessons (held Monday or Thursday with Miss Pam) (45 minutes per week, $60 a month) Mini's Group Lessons (ages 0-5 held Monday with Miss Pam) (30 minutes per week, $50 a month) Nationals Competitive Team ( $110 - 1-2 in person choreography weekend(s) per month, 1 virtual choreography weekend per month (if not in person), 2 x 1 hour clinic weekends, 4 x 45 min dance classes) Intro Competitive Team ($40 per month will follow simplified version of Nationals Comp Team Schedule - will compete at TwirlFest and State Championships)
Medical Insurance Information
Please upload a picture of your insurance card.

Browse Files

Cancel of
Medical Insurance Provider
Medical Insurance Policy Number / Group Number
Name of Policy Holder
Emergency Contact
Emergency Contact's Phone Number (xxx-xxx-xxxx)
Emergency Contact's Relationship to Twirler

Mother Father Step Mother Step Father Grandmother Grandfather Aunt Uncle Sister Brother
Please list any known allergies.
I know of no reason(s), other than indicated on this form, why my child should not participate in twirling activities.

Sign here. Clear
I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending The ShowTwirlers and that such exposure or infection may result in personal injury, illness, permanent disability, and death. By signing this agreement, I agree that my child and any accompanying persons will not enter The ShowTwirlers studio or a practice of any nature if we exhibit any of the following new or worsening signs or symptoms of possible COVID-19: A temperature greater than 100.4 degrees Fahrenheit, cough, shortness of breath or difficulty breathing, other respiratory symptoms, or at least two of the following symptoms: chills, repeated shaking with chills, muscle pain, sore throat, fatigue, headache, sore throat, congestion or runny nose, nausea or vomiting, diarrhea, or new loss of taste or smell. I also agree that, neither my child(ren) nor any accompanying adult will enter if we have had known close contact with a person who is lab-confirmed to have COVID-19. The ShowTwirlers will maintain a strict cleaning and safety protocol. By signing this, athletes and their family members agree to follow guidelines while on premises. *

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I give my consent to the administration of emergency medical treatment by any licensed physician or dentist and to transport the child to any reasonably accessible medical / hospital facility. Initial below.

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I give permission to The ShowTwirlers to use photos taken of my child participating in twirling activities for the promotion of our studio and baton twirling.

Sign here. Clear
Any additional comments, scheduling concerns, or things you would like Miss Pam, PJ, or Jon to consider? If you were with us last year, what is some feedback for us so we can continue to improve this coming year?
Booster Club Support
Please pick 1-3 areas that you (the parent or guardian) would be willing to help with! *

PARTY PEOPLE: Halloween, Holiday, Nationals Good Luck Party, End of Year Picnic PARADE PREP: Costumes and attire needs, logistics, etc. MARKETING: Webpage upkeep, Social Media, Historian (photographer), etc. FUNDRAISING: Monthly fundraiser coordination, sponsorships, exhibition raffles GEAR: ShowTwirler Gear Coordination / Ordering (2-3 Times during year) SOCIALITE: Alumni Group Coordination, Little Buddy Program, Parents Group CONTEST PREP: Twirl Fest Competition Prep, PA STATE Prep, etc. TEAM or GROUP MOM/DAD: Will need 5-6 of these!
Registration Fee

Registration Fee *

Registration 2021-2022 $ 40.00

1st Child - $40 2nd Child - $25 (Use Code: SIBLING2) 3rd Child - $15 (Use Code: SIBLING3)

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Total $ 0.00

Credit Card

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2021 - 2022 SHOWTWIRLERS REGISTRATION FORM

Class / Team Registration

Medical Insurance Information

Booster Club Support

Registration Fee

Credit Card