BOMBSHELLS ELITE CHEER & DANCE
“ ALL THE WAY LIVE IN SEASON 5” REGISTRATION
REGISTRATATION INFO
My child, listed below in the applicant section of this form, has my permission to participate as a member of the 2025-2026 All Star cheer season with BOMBSHELLS YOUTH CHEER AND DANCE ASSOCIATION. I understand that he/she must abide by the rules and regulations set forth by the PROGRAM CHEER DIRECTOR and THE COACHING STAFF, and be present for all practices. I have read the rules and regulations and understand that the violation of any of these rules may lead to temporary or permanent suspension from the program. I understand that all forms attached must be completed before my child will be added to the roster, my commitment fee of $200 (RETURNER), or $250 (NEW ATHLETE) MUST be paid by May 15th of 2025, and my child will not be allowed to participate in any activities until this is completed. I understand that my child must attend all practices either virtual or in person (unless excused by the director or coaching staff). I understand that once I sign the final contracts that will be provided to me, I am responsible for all costs involved as stated in the contract & packet. I also understand that BOMBSHELLS YOUTH CHEER & DANCE has a NO refund policy which includes initial registration and any additional fees associated with the program regardless of the circumstances. If my child or myself is removed from the team due to disrespectful behavior there will be NO refund given. I understand that myself or my child may be terminated from the program involuntarily at any time for violating the contact or Season 5 Handbook.
I/We agree with the above
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Yes
No
WAIVER INFORMATION
I understand by the very nature of the activity, cheerleading and gymnastics carry a risk of physical injury. No matter how careful the participant and coach are, how many spotters are used, or what landing surface is used, the risk cannot be eliminated. The risk of injury includes minor injuries such as muscle pulls, dislocation, and broken bones. The risk also includes catastrophic injuries such as permanent paralysis or even death from landing or falls on the back, neck, or head. I understand these risks and will NOT hold BOMBSHELLS YOUTH CHEER & DANCE ASSOCIATION LIABLE or any of its personnel responsible in the case of accident or injury at any time. I herby grant permission to allow my child to participate in cheer and dance activities along with team bonding activities sponsored by the Bombshells Youth Cheer and Dance Association. Furthermore, I hereby release the BOMBSHELLS YOUTH CHEER & DANCE, it's officials, agents, coaches, and trainers, from any legal or financial responsibility resulting from actions of, injury to my child engaged in any activities (i.e. games, practices, competitions, and team events). It is my understanding that every registered participant will be covered by their own personal accident insurance.
I/We agree with the above
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Yes
No
Signature
APPLICANT INFORMATION
Bombshell Elite Athlete
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Athlete's Full Name:
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First Name
Last Name
Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
DATE OF BIRTH:
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Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
Year
Home Phone:
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-
Area Code
Phone Number
Gender:
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Male
Female
PARENT/GUARDIAN
Full Name:
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First Name
Last Name
Home Phone:
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-
Area Code
Phone Number
Cell Phone:
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-
Area Code
Phone Number
E-mail:
*
example@example.com
School child is now attending:
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TEAM SELECTION
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Ages 2-4
Ages 5-6
Ages 7-8
Ages 9-10
Ages 11-12
Ages 12-13
Ages 14-15
Previous cheer experience
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Yes
No
If YES,what program? If NO, click other
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Other
Previous dance experience
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Yes
No
Stunting experience
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Base
Main Base
Back Spot
Flyer
None
Does your child have any Level 1 Stunting Skills?
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Yes
No
Does your child have any tumbling experience? If yes, how many years?
What was the last tumbling gym attended?
Does your child have any Level 1 Tumbling Skills?
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Yes
No
Does your child have any Level 2 Tumbling Skills?
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Yes
No
Are you interested in your child be chosen to participate in crossover teams if chosen? A “Crossover” athlete is an athlete who competed on 2 teams and will be responsible for ALL crossover fees.
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Yes
No
Are you interested in your child be chosen to participate as a Flyer? If so, you agree that it is mandatory to invest in our flyer program
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Yes
No
Are you interested in your child be placed on an PREP or ELITE team if chosen? This also requires a FULL 11 month commitment which does require attending some out of state travel, attending mandatory camps/clinics and attending additional classes/practices if need. You also understand there will be additional cost associated with anything outside of monthly tuition.
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Yes
No
Are you interested in your child being considered for a cross over position if needed? Cross over means athlete can be placed on two different teams.
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I understand there is a NON-REFUNDABLE $200 commitment fee per returning athlete or $250 commitment fee per NEW athlete due by May 15th, 2025 . This fee secures your spot in the program. If I do not pay this fee, I understand my athlete will not be allowed to be placed on a team until this is paid.
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Yes
No
I understand that my athlete must attend evaluations on the date/time specified by BSE at the gym to be considered for a team. Date/Time slots will be given once registered? I understand if I miss, I will be responsible for paying a $20 fee for an alternate date
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Yes
No
I understand that if I commit to this program, I am committing to a full 1 year commitment and even if I quit or am involuntarily dismissed form the program, I am still responsible for tuition each month until after April 1. I understand that there are also no refunds. I also understand that uniform and apparel items belong to BSE
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Yes
No
My Products
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( X )
Returning Member Registration
$
75.00
ALL REGISTRATION FEES ARE NON- REFUNDABLE.
Total
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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I understand that by registering my athlete to be apart of Bombshells Elite Cheer and Dance, I am responsible for participating in any mandatory fundraisers by the program or agree to pay the buy out fee via cash or credit card.
*
Yes
No
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