2024-2025 Packet Levels 1, 2, and 3

Athlete Name
Address
City
State
Zip Code
Date of Birth

MonthDayYear
Date
Age
School Attending 2023-2024 School year
Grade 2023-2024 School Year
Parent Information
Mother's Name
Phone Number
Email Address
example@example.com
Father's Name
Phone Number
Email Address
example@example.com
Emergency Contact
Name
Relationship
Phone Number
Only the individuals listed above are authorized to pick up my child or be contacted in case of emergency unless otherwise advised by a guardian.
Program Rules and Regulations
You are expected to attend ALL practices, exhibitions, and competitions as a team. Our routines are developed around every team member; therefore, one member's absence has a negative impact on all other team members and the routine. Be prepared to rearrange your schedules as needed; such as extra or extended practices. We will try to maintain a routine schedule for you to be able to make advance plans. Also, there will be closed practices as determined by the coaches.
Missing practices will result in a fine of $35.00 if not approved by coach Alex.
Initial
Excused Absences are as follows, must notify through email or phone call to Alex
Initial
Death in the Family

School-related or cheerleading function

Pre-Approved Absence

Sick - missing school that day and unable to sit and watch practice
Unexcused Absences Result in a $35.00 fine
Initial
Sick but went to school - athlete can watch practice and not participate

Optional Activities

Birthday parties - even the athlete’s birthday party

Transportation Issues

Homework or a test - please plan ahead of time
Proper Attire will be required at all practices, exhibitions, or competitions
Initial
Scheduled practice wear for each practice must be worn including cheer shoes

Hair must be pulled back and out of the face

No jewelry of any kind

Nails must be unpainted for all competitions and no false nails

Competition Makeup and hair must be worn as instructed

Must be nice and neat
Parent Signature

Clear
Date

MonthDayYear
Date
Parent Code of Conduct
If my child is involved in any manner of disrespect towards any members or coaches of Texas will resolve the problem with my child immediately. This includes 'drama', please leave at the door.
Initial
I fully understand that the coaches reserve the right to suspend my child's participation indefinitely in or competition as a disciplinary action if any of the athlete code of conduct is not adhered to. A can cause my child to lose his/her place in a specific section of the routine.
Inital
I understand that time is essential to both the program and parents. I will do all that is necessary to child to practice on time and assure that they will not have to leave practice early.
Initial
I am aware that this is a ONE YEAR commitment and will do everything in my ability to enable my participate in all practices and competitions throughout the season.
Initial
I will try to attend all parent meetings to retrieve information in which Texas Xtreme has prepared for schedules and events.
Initial
I have read over the cheerleader's code of conduct with my child and understand what is expected and will help to ensure my child's obligation to these matters.
Initial
I will not use the Texas Xtreme Logo for any reason without the approval of Texas Xtreme. This includes shirts and gift items for the athletes.
I understand that Texas Xtreme does not guarantee to win every competition.
Initial
Absolutely zero tolerance of racism. If there is even a hint of that behavior, there will be an dismissal from the cheer program. NO EXCEPTIONS!
Initial
Parent Signature

Clear
Date

MonthDayYear
Date
Cheerleader Code of Conduct
If I am involved in any matter of disrespect towards any members or coaches of Texas Xtreme, it will with swiftly and with consequences. This includes 'drama' which needs to be left at the gym door.
Initial
I will come to practice with a POSITIVE attitude and I will give my 100% effort towards the agenda coaching staff for that day.
Initial
I will NOT use inappropriate language or participate in inappropriate behavior. I understand that my hours a day are a reflection of my team and my Texas Xtreme.
initial
I will NOT disrespect any team member, coach, or competitor for any reason or at anytime. I WILL show good sportsmanship no matter win or lose.
Initial
I understand this is a ONE YEAR commitment and that my team is depending on me to fulfill my as a TEAM member.
Initial
I will learn and obey all the rules and regulations of the gym and the cheer program.
Initial
I understand that by breaking any of the codes of Conduct, I may be suspended or dismissed from team and Texas Xtreme.
Initial
Athlete Signature

Clear
Date

MonthDayYear
Date
Parent Signature

Clear
Date

MonthDayYear
Date
Payment Policy

Please read and initial
Please read and understand that tuition is due on the 1st of each month and will be late as of the 5th. All-Star fees will be due on the 15th of the designated month. Late fees will be added to All-Star payments after the 20th. Each family must complete the Payment Plan Contract which will be used for tuition. If you are wanting to pay with cash or checks please come by the office before the 5th of the month. On the 5th of the month, all unpaid invoices will be resent with a $35.00 late fee added. BANKING INFORMATION IS REQUIRED TO BE ON FILE FOR ALL ATHLETES. No tuition will be prorated for missed classes. NO REFUNDS FOR ANY REASON!
If payment is not made by the 5th of the month there will be a $35.00 late fee added for each the tuition is late. NO EXCEPTIONS!
Initial
All fees must be paid on time, if an athlete falls one month behind on their payments, they will be suspended from the team until the balance has been paid.
Initial
If an athlete falls two months behind on payments they will be removed from the team and their will not be refunded.
Initial
Remember that this season is a ONE YEAR commitment
Initial
All athletes are required to pay all fees
Initial
This is a ONE YEAR commitment and athletes are expected to complete the entire season. If for any reason you do not fulfill your commitment and do not complete the season, there will be a $500.00 fee charged to your information on file.
Initial
Competition fees are estimated. Families will be able to review the schedule before it is finalized to check for any major conflicts.
Parent Signature
Date

MonthDayYear
Date
Estimated Financial Obligations
There will be a $600.00 down payment due May 15th for all competitive athletes, that will be your first payment. No refunds on your down payment. We will be putting the competition schedule together as soon as the dates become available. Please be advised that competitions are mandatory. We know this will take the full support of parents as well as cheerleaders to make this team a positive and successful one.

No Refunds for any reason.

Tuition: Covers your two all-star cheerleading practices and one tumbling class per week. If extra practices are called, there will be no additional charge.

Monthly Tuition - $175.00 will be invoiced every month on the 1st

Down payment: Goes directly towards the balance of your all-star fees:

Down Payment - $600.00 due May 15th

All-Star fees:

Paid monthly and will include payments for practice wear, uniform, jacket, backpack, bow, make-up, Music and Choreography, Coaches, and Competition Fees. This payment will begin the month following your down payment.
All-Star Payments
All-Star Fees -

New Athletes: Nine payments of $255.00 invoiced on the 15th of June, July, August, September, October, November, December, January, February

Returning Athletes: Nine payments of $175.00 invoiced on the 15th of June, July, August, September, October, November, December, January, February
Parents will be responsible for registering their athletes with USASF. You will have to upload a birth certificate and pay the $30.00 fee. We will let you know when this needs to be completed by.

Team Shirts will be an additional cost and will be available to families as well for purchase.

This is a ONE-YEAR commitment and athletes are expected to complete the entire season. If for any reason you do not fulfill your commitment and do not complete the season, there will be a $500.00 fee charged to your information on file.
Parent Signature

Clear
Date

MonthDayYear
Date
Media Release Information
Please be advised that while at the gym your child may be photographed/videotaped during various gym activities. With your consent, the photograph or video may be reproduced and released for use in the media, for example newspapers, brochures, flyers, videos, our gym website and various social media platforms such as Facebook, Instagram, and Snapchat.

Please indicate your preference below:
Athlete Name
Select your response

My child's photograph/video MAY be reproduced and released for use in the media.My child's photograph/video MAY NOT be reproduced and released for use in the media and therefore will not be included in pictures/videos.
Parent Signature

Clear
Date

MonthDayYear
Date
Texas Xtreme Sports Medical Release Waiver
Student Name

First NameLast Name
What will your child be participating in?

CheerleadingDanceTumblingSummer Camps
I/We do hereby permit the named student to participate in cheerleading, tumbling, dance, karate, or and other physical activities while a student at Texas Xtreme Sports. By granting permission for said student to participate at Texas Xtreme Sports, I/We assume full responsibility for said student’s personal safety and release Texas Xtreme Sports and its employees from any and all liabilities that may arise due to any injury including death to said student’s participation in any activity at Texas Xtreme Sports, or which Texas Xtreme Sports is participating at elsewhere.
Initial Here
I/We understand that there is personal risk involved in any physical activity that involves motion, height, or rotation and that these activities can result in serious injury, disability, and/or death.
Initial Here
I/We declare that this student has been seen by a registered physician and has been cleared to participate in all physical activities at Texas Xtreme Sports.
Initial Here
I/We have read this Medical Release Waiver and fully understand and execute its contents as stated above.
Initial Here
I certify that the above listed student is physically able to fulfill the requirements to be a student at Texas Xtreme Sports. I understand that this form legally releases all obligations and responsibilities for medical treatment of my son/daughter in event of illness or injury during any activity when either parent can not be reached. If there is any physical or medical reason why he/she should not participate fully, Texas Xtreme Sports requires a doctor's release. Furthermore, Texas Xtreme Sports is not liable for any injury incurred during physical activity.
Initial Here
Parent Signature

Clear
Date

MonthDayYear
Date
Medical Treatment Permission Form
In the case of an emergency occurring while my son/daughter is at Texas Xtreme Sports, in a class, at practice, or a competition. I grant permission to Texas Xtreme Sports and its employees to take whatever action is necessary. In the event that I can not be reached, I hereby authorize Texas Xtreme Sports and its employees to give consent for my child to receive medical treatment.
Parent Name
Cell Phone #1
Cell Phone #2
Home Address
City
State
Zip Code
Doctor
Phone Number
Insurance Company
Policy #
If you do not give us permission or authorization for consent for medical treatment, what procedures would you like us to follow?
Check any and all that apply

Heart ConditionAsthmaConvulsions DisorderDiabetes
Does your child have any allergies?

YesNo
If yes, please list
List any and all allergies
Additional Medical Information we should know?
Parent Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Parent Information

Emergency Contact

Program Rules and Regulations

Parent Code of Conduct

Cheerleader Code of Conduct

Payment Policy

Estimated Financial Obligations

All-Star Payments

Media Release Information

Texas Xtreme Sports Medical Release Waiver

Medical Treatment Permission Form