Private Evaluation

Athlete Tryout Application
Athlete Full Name*

First NameLast Name
Athlete Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Athlete Date of Birth*

MonthDayYear
Name of School 2024-2025*
How many years of experience does athlete have in Cheerleading?*
How many years of experience does athlete have in Gymnastics?*
Athlete has been involved in an All-Star Cheerleading program?*
If yes? What Team?
PARENT/GUARDIAN INFORMATION
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Cell Phone Number*

Area CodePhone Number
Parent/Guardian Email Address*
EMERGENCY CONTACT
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship*
ALLERGIES/MEDICAL
Please list any health conditions that we may need to be made aware of*
Does athlete use inhaler? *
When was athletes last physical? *
PARENT/GUARDIAN CONSENT
In consideration of "Self" or "My Child"(hereinafter referred to as the “Minor”) being permitted by Maryland Glitz All-Stars LLC to participate in its activities and to use its equipment and facilities, or other facilities used by Maryland Glitz All-Stars, I further agree to indemnify and hold Maryland Glitz All-Stars LLC, as well as any other facilities used, from any and all claims which are brought by, or on behalf of the Minor and which are in any way connected with such use or participation by the Minor.

In case of an emergency, I grant permission to Maryland Glitz All-Stars LLC and its personnel, to have authority, at my expense, in the event I cannot be reached, to utilize the most convenient volunteer rescue squad vehicle or ambulance to transport the Minor and/or myself to the hospital and if necessary, I authorize medical treatment. I verify that the Minor and/or myself have passed a medical examination within the last twelve months and are capable of participating in cheerleading, gymnastics, dance and related activities.

I acknowledge that if anyone is hurt, or property is damaged during my participation or the participation of the Minor in this activity, I and/or the Minor may be found by court of law to have waived the right to maintain a lawsuit against Maryland Glitz All-Stars LLC on the basis of any claim from which I have released Maryland Glitz All-Stars LLC either personally and/or as the parent, natural guardian and/or legal guardian of the Minor by signing this Agreement.

I, understand in the event I (minor) am not able to attend the event no refund will be issued due to all sales final

I, the undersigned Parent/Guardian/Athlete do hereby give consent for the above athlete to participate in the training and activities held at Maryland Glitz All-Stars, LLC. and accept responsibility for all costs incurred by myself or my athlete. I have completely filled out this form in its entirety and attest that all information given is factual.
How were you referred to us?*
Signature *
Date*

MonthDayYear
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Evaluation Fee$40.00
Non-Refundable, Non-Transferable.

Total $0.00
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