Ultimate Cheer Lubbock CheerAbilities Team Agreement
Please complete this agreement if you wish to be a part of Ultimate Cheer Lubbock's Exceptional Athlete/CheerAbilities cheerleading program. You must read and understand the Information Packet for CheerAbilities Teams before completing this agreement.
Athlete Name
*
First Name
Last Name
Gender
*
Male
Female
Athlete Birthday
*
 -
Year
 -
Month
Day
Date
Medical Conditions: Please list any and all physical disabilities, chronic ailments, psychological disabilities, and allergies for athlete:
Anything else we should know about your athlete?
Athlete T-Shirt Size
*
Youth XS
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Athlete Photo/Headshot
*
Browse Files
Drag and drop files here
Choose a file
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of
Referral
*
Returning Customer
Coming From Another Program
Brand New To Cheer
Other
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Parent/Guardian ("Primary Account Holder" or "you"):
*
First Name
Last Name
Parent/Guardian Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
*
example@example.com
Family Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact- Name, Phone Number, & Relation to Athlete (Other than above, we will always contact you first!)
*
1. TEAM PARTICIPATION AND PRIMARY ACCOUNT HOLDER
*
2. TUITION AND FEES
*
3. FINANCIAL COMMITMENT
*
4. TERMINATION AND RESIGNATION
*
5. UCL PARTICIPATION
*
7. ASSUMPTION OF RISK
*
8. WAIVER AND RELEASE
*
9. INDEMNIFICATION
*
10. PHOTO RELEASE
*
11. MEDICAL CONSENT
*
12. FORCE MAJEURE
*
13. MISCELLANEOUS
*
Signature
*
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ATTENTION, PLEASE READ:
Even if you already have billing information on file from a previous class/team at Ultimate Cheer Lubbock, we still need your correct Bank Account Information (below). We are switching online systems and billing information does not transfer over. Please make sure your billing information is correct before hitting submit.
BILLING AUTHORIZATION
*
Financial Institution (Bank Name)
*
Bank Routing Number (9 Digits):
*
Bank Account Number:
*
Confirm Bank Account Number:
*
Account Type
*
Checking
Business Checking
Savings
Name on Account
*
I would like to pay:
*
Option 1: Average Monthly Billing
Option 2: Year In Full Payment
Signature
*
Submit
Should be Empty: