2025 Recreational Program Registration - Term 1
Athlete Details
Athlete Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date Picker Icon
Gender
*
Female
Male
Does the athlete have any any medical conditions (including asthma, diabetes), medications, allergies, or other concerns that may affect participation in cheerleading? To assist our coaches, please clearly list anything that may impact ability to participate in training for example ADHD, autism, behavioural, sensory) and any relevant details.
*
No
Yes
If yes, please advise details:
Contact Details
List parent/guardian details if athlete is under 18 years.
Parent/Guardian Email:
*
example@example.com
Parent/Guardian Contact Mobile:
*
Parent/Guardian Name (if athlete is under 18 years)
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
In case of incident or emergency, please supply the the details of an emergency contact (must be different to contact details supplied above).
Name
*
First Name
Last Name
Relationship to Athlete
*
Please Select
Father
Mother
Sibling
Step-Father
Step-Mother
Aunt
Uncle
Grandparents
Other
If other, list relationship to athlete:
Emergency Contact Phone Number (mobile preferred)
*
General Information
How did you hear about BASC?
Confirmation & Payment
Select your session to secure your place. Ages are based on your current age.
Please select your class.
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Recreational Cheerleading
$
192.00
AUD
Mondays from 24th February — 4th April
5-6 Years (4:45 - 6:00pm)
7-9 Years (4:45 - 6:00pm)
10-12 Years (6:00pm - 7:15pm)
13-18 Years (6:00pm - 7:15pm)
Recreational Tumbling (6:30 - 7:15pm)
$
168.00
AUD
Wednesdays from 24th February — 4th April
Enter coupon
Apply
Total
$
0.00
AUD
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Do you have any questions / queries regarding the cheerleading classes?
Member T-Shirt Sizing
Please select your preferred member t-shirt size. Tips for selecting: usually your normal size will be appropriate. When in doubt, go up a size. Shirts may not be exchanged for a different size once your size has been selected (as they are specifically ordered for you).
Member Tee Size
Please Select
Youth 10
Youth 12
Youth 14
Youth 16
Ladies 8
Ladies 10
Ladies 12
Ladies 14
Ladies 16
Ladies 18
Unisex S
Unisex M
Unisex L
Unisex XL
Unisex 2XL
Unisex 4XL
Unisex 5XL
Is there any other information you would like to add?
Terms & Conditions of Participation
Authorised Person Signature: I agree to the terms and conditions listed above and declare that I have authority to sign on behalf of the participant listed.
*
Submit Waiver & Registration Form
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