Five Star MA : Junior Olympics Registration 2025

Five Star MA : Junior Olympics Registration 2025

Five Star Athletics is thrilled to participate in the 2025 Junior Olympic Games in Houston, TX! This exciting event gives athletes the opportunity to represent our gym on a national stage, build team skills, and have a once-in-a-lifetime performance experience.
Child’s Full Name*

First NameLast Name
Child’s Age*
as of 12/31/2024
Child’s Date of Birth*
Parent Name *

First NameLast Name
E-mail*
example@example.com
Contact Number*
Emergency Contact *

First NameLast Name
Emergency Contact Phone Number*
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
HOW DID YOU HEAR ABOUT FIVE STAR ATHLETICS?

Friend/FamilyFacebookGoogleCurrent MemberOther
Allergies/ Medical Conditions/ Special Needs/Disabilities *
Please type “N/A” if none
Child’s Health Insurance *
Child’s Doctor *
Child’s Doctor Phone Number *
Experience*

CheerleadingDanceGymnasticsNone but ready to learn
Current FSA Member?*

YesNo
Uniform Needed?*

YesNo
Please List T Shirt Size Below
Acknowledgements : Please check each box below to confirm your understanding and agreement.*

☐ I understand the $200 deposit is non-refundable.☐ I understand that all practices and the choreography camp are mandatory.☐ I will ensure full payment is submitted by the due date provided.☐ I give permission for my child to participate in the Junior Olympic Games with Five Star Athletics.
I GIVE PERMISSION FOR PHOTOGRAPHS OR VIDEOTAPES OF MY CHILD TO BE USED IN PUBLICATIONS,COMMUNITY PROGRAMS, WEBSITE, SOCAIL MEDIA, AND ACTIVITIES RELATING TO FIVE STAR ATHLETICS.* PHOTO RESPONSE:*

YesNo
PARENT CONSENT RELEASE: My child has my permission to participate in the FIVE STAR ATHLETICS JUNIOR OLYMPICS CHEER PROGRAM for its 2025 season. I understand that for MEMBERSHIP: ·He/she must abide by the rules and regulations set forth by the director, coaches and staff of Five Star Athletics (FSA) ·I understand that my child must attend at least one team placement or private evaluation, or my child will not be considered for a team position. ·I understand that the head coach and staff will evaluate my daughter/son, and we agree to abide by the decision of the coach. ·I understand all costs involved as stated. * OBSERVATION RESPONSE:*

I AGREEI DISAGREE
PARENT IF SELECTED: If my child is selected to be a part of the team I understand: ·He/she must abide by the rules and regulations set forth by the director, coaches and staff of Five Star Athletics. ·All costs involved as stated . ·I have read the constitution and understand that the violation of any of these rules may lead to temporary or permanent suspension from the squad. ·My child must be present for all practices, camps and competitions. ·Give permission for my daughter/son to ride with the FSA staff or director when necessary. * IF SELECTED:*

I AGREEI DISAGREE
PARENT LIABILITY: I understand by the very nature of the activity, cheerleading and gymnastics carry a risk of physical injury. No matter how careful the participant and coach are, how many spotters are used, or what landing surface is used, the risk cannot be eliminated. The risk of injury includes minor injuries such as muscle pulls, dislocation, and broken bones. The risk also includes catastrophic injuries such as permanent paralysis or even death from landing or falls on the back, neck, or head. I understand these risks and will not hold Five Star Athletics or any of its personnel responsible in the case of accident or injury at any time. * LIABILITY:*

I AGREEI DISAGREE
Please acknowledge that you understand the requested program is simply a preference. Final placement decisions will be made by Five Star Staff. All relevant factors will be considered, including but not limited to: Past financial commitment, Attendance, Athlete performance, Parent and athlete conduct*

I Understand and AGREE
Please select agree that you are aware that the program registration fee in NON REFUNDABLE. IF AFTER YOU CLICK SUBMIT YOU NO LONGER WISH TO BE APART OF THE PROGRAM YOU WILL BE FORFEITING YOUR ENTIRE REGISTRATION FEE*

I Understand and AGREE
Signature*

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Date*

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Date

Registration Selection*

Five Star 2025 - Junior Olympics Program Registration Product Image

Five Star 2025 - Junior Olympics Program RegistrationRegistration/Deposit

$200.00 Quantity

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