Dynasty Spirit Elite - Maryland 2024-2025 Registration Form
3480 Catterton Pl Suite 3, Waldorf MD 20602
Athlete Name
*
First Name
Middle Name
Last Name
Parent Name
*
First Name
Last Name
Additional Parent Name
First Name
Last Name
Athlete Birthdate
*
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Athlete Age
*
Athlete Gender
*
Please Select
Male
Female
N/A
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Email
*
example@example.com
Additional Email
example@example.com
Parent Phone Number
*
Additional Phone Number
Program Type
*
Please Select
Elite Cheer (Ages 6-18)
Prep Cheer (Ages 6-14)
Novice Cheer (Ages 4-6)
Red Ops (Worlds Only) (Ages 13-18)
Half Season Cheer (Ages 7-14)
Please select which program you are registering your athlete for. THIS PROGRAM COULD CHANGE BASED ON YOUR ATHLETES LEVEL PLACEMENT.
Athlete Allergies or Restrictions (If none type N/A)
*
Is your athlete NEW or RETURNING to DSE
*
Please Select
NEW
RETURNING
Does your athlete have cheer, dance or gymnastics experience? If so what level?
*
Is your athlete interested in being on more than one team? (Cross Over)
*
Please Select
YES
NO
Did anyone from Dynasty MD refer you?
*
If you were referred by a Dynasty member please enter their first & last name. If no one referred you enter NO.
As the parent, guardian and/or participant , I understand and acknowledge that the activities that I or my child engage in while on the premises or under the auspices of Maryland Ntensity Cheer and Dynasty Spirit Elite pose known and unknown risks which could result in injury, paralysis, death, emotional distress, or damage to myself, my child(ren), to property, or to any third parties or associates. I expressly agree and promise to accept and assume all the risks, known and unknown, connected with DSE & MNC related activities, including by not limited to tumbling, a performance of stunts and/or use of trampolines and gym equipment. I elect for myself and my children to participate in such activities despite the risks. I hereby voluntarily release, forever discharge, and agree to hold harmless and indemnify DSE & MNC including coaches and staff from all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with myself or my child’s participant in DSE & MNC activities. I certify that myself and my child has health, accident, life, and liability insurance to cover bodily injury or property damage that may be caused or suffered while participating in this event or activity, or else I agree to bear the costs of such injury, damage or death to myself and my child. I further certify that I am willing to assume and bear the costs of all risks that may arise or be created, directly or indirectly, through or by any such condition. Finally I understand that any and all fees paid to DSE & MNC are non refundable. No credits or refunds will be given for any reasons.
*
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Maryland Ntensity Cheer & Dynasty Spirit Elite have put in place preventative measures to reduce the spread of COVID-19; however, MNC/DSE cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending MNC/DSE could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending MNC/DSE and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at MNC/DSE may result from the actions, omissions, or negligence of myself and others, including, but not limited to, employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at MNC/DSE or any associate locations or events. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless MNC/DSE, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of MNC/DSE, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any DSE/MNC program.
*
Todays Date
*
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Month
-
Day
Year
Date
SELECT REGISTRATION TYPE
*
Please Select
FULL SEASON ELITE, NOVICE OR PREP
FULL SEASON RED OPS ONLY
FULL SEASON SHOW TEAM
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2024-2025 Registration Fee
** NO REFUNDS FOR ANY REASON** EARLY PRICE AVAILABLE UNTIL 5/1.
$
80.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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