Event Registration Form
DATE: SUNDAY NOVEMBER 1O, 2024 > LOCATION: LIVINGSTONE COLLEGE SALISBURY NC > THIS IS A STOMP AND SHAKE CHEERLEADING "SOLO" CATEGORY EVENT
Participant Information
The Official Stomp and Shake Cheerleading Pageant .... Mandatory Categories: Interview ( 1 on 1 with the judges ) > School Girl/Boy Wear > Evening Wear > Solo Cheer Performance.. Each category will have a point system with scoresheets. The participant with the highest score in their division will be crowned Mr. & Miss Stomp and Shake Cheerleader of the Year. Winnings are given and vary Per Division (Trophies, Sashes, Crowns, and a chance to win your Cheerleading Program a Cash Prize and more)
Participants Name:
*
First Name
Last Name
Gender:
*
Male
Female
Parent or Coach Name:
*
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Email Address:
*
example@example.com
Contact Number:
Please enter a valid phone number.
Select Your Division:
*
Tiny Princess - Ages 5-6
Junior Princess - Ages 7-9
Princess - Ages 10-12
Junior Teen Mr & Miss - Ages 13-15
Teen Mr & Miss - Ages 16-18
Mr & Miss - 19-26
Are you apart of a Cheerleading Team?
*
YES
NO
If yes enter Teams Name:
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I, THE GUARDIAN/ PARENT/ OR PARTICIPANT ( 18 OR OLDER ) , AFFIRM THAT I AM OF THE AGE OF 18 YEARS OR OLDER, AND THAT I AM FREELY SIGNING THIS AGREEMENT. I CERTIFY THAT I HAVE READ THIS AGREEMENT, THAT I FULLY UNDERSTAND ITS CONTENT AND THAT THIS RELEASE CANNOT BE MODIFIED ORALLY. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND THAT I AM SIGNING IT OF MY OWN FREE WILL.
My Products: The Stomp and Shake Royal Court Pageant Registration fee: a 3% tax will be added to the total.. ( NON REFUNDABLE )
*
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Registration Fee
Per Participant (Includes 1 contestent & 1 Adult Companion )
$
125.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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