Dazzling Diamonds Registration

What We Are: A beginner-friendly program focused on teaching fundamental cheer and dance routines while incorporating essential life skills such as confidence, teamwork, and respect.

Who It's For: Designed specifically for girls ages 5-10 who are new to cheerleading and dance, providing a supportive and fun environment to learn and grow.

Registration is Now Open through June 15th- $150

Payment plans are available.

This is a 5-week summer program with practices held twice a week

Meeting Days:

Tuesdays 7pm-8:30pm (zoom sessions for learning)

Saturdays 9am-11am (in person for practice)

Showcase Date: July 28th

Children will have the option of participating in parardes and festivals as well.(Calendar of events will be emailed)

Program Breakdown:

Week 1: Confidence Building / Intro to Cheerleading & Dance

Week 2: Public Speaking / Building Fundamentals

Week 3: Self-Love and Body Positivity / Facial Expressions & Enthusiasm

Week 4: Etiquette and Respect / Cheer Formation

Week 5: Anti-Bullying and Teamwork / Putting It All Together

Parent Name*

First NameLast Name

Child Name*

Birth Date

Date

Current School:

Daycare (if applicable)

Grade Level entering 24-25 school year:

Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian E-mail*

example@example.com

Primary Contact*

Secondary Contact:

Emergency Contact Information

1st Emergency Contact Name:

Relationship to Participate:

Phone Number:

2nd Emergency Contact:

Relationship to Participate:

Phone Number:

Health Information

Does the participant have allergies? (If yes, please list all known allergies:

Does the participant have any medical conditions or take any medications we should be aware of? If yes, please provide details:

Cheer and Dance Experience

Has the participant ever been involved in cheerleading or dance before? If yes, please provide a brief description of their experience.(Please note this is a beginner friendly program, experience is not required)

What is the participant's interest level in cheerleading and dance? (Scale of 1-10)

What specific life skills would you like your child to develop during this camp? (Check all that apply)

Does the participant have any specific goals or areas of interest for their personal development?

Availability and Participation

Will the participant be able to attend all scheduled practice sessions on Tuesdays from 7 PM - 8:30 PM (zoom) and Saturdays from 9 AM - 11 AM(in-person)? If no, please explain:

Will the participant be able to attend to the Showcase July 27th? {Time and location TBA)

More About the Participant:

What are your child's strengths?*

What are your child's weaknesses?*

What subject does your child need the most help with if any?*

Media Release:

I hereby give consent to Dazzling Diamonds and Secret K Nation to photograph, videotape, or otherwise digitally record and use images and/or sound recordings of myself or my child (if applicable) to use in any public media, including radio, television, internet, social media, print or marketing/ promotional purposes.

Consent snd Agreement

Parent Name:

Parent Signature:

Participation Agreement and Acknowledgment of Risk *I, the undersigned guardian of the participant, wish to allow my child to participate in the Dazzling Diamonds Cheer and Dance prep program. I acknowledge that participation in cheer and dance activities involves certain risks, including, but not limited to, physical injury, emotional stress, and property damage. I affirm that my child is voluntarily participating in these activities and assume all risks associated with cheer and dance, including adverse weather conditions, the use of cheer and/or dance equipment, and the actions of other participants.

My Products ( Select Paypal Checkout followed by Paypal Guest Checkout if you do not have a paypal acct)*

Registration Fee (full payment)

$155.00

Partial Payment2nd payment of 77.50 will be due by June 28th. Failure to make payment will result in dismissal of program.

$77.50

Pay with PayPal

Please click one of the PayPal options to complete payment and submit the form.