Clone of 2026 Registration form

1
Recreational Cheer & Dance Costs

Registration Fee: $100 per year
Class Fees: $14 per hour.
During Fraser Coast Cheer & Dance competition seasons, class hours may be reduced and invoices will be adjusted accordingly.
Once you have registered, you will receive an email containing our full Information Pack.
This includes:

Our Code of conducts, Instructions for joining our Band app
Details about classes and what we do,
A breakdown of the registration fee and what it covers, about class manager,
Our yearly calendar and timetable and more.
2
Name of person completing this section* This field is required.
First Name
Last Name
3
By continuing, you are agreeing to provide Fraser Coast Cheer & Dance with your personal details which will be used in accordance with our privacy policy.* This field is required.
YESNO
4
Athlete Name* This field is required.
First Name
Last Name
5
Athlete Date of Birth* This field is required.
Date
Day
Month
Year
6
Athlete age as at 31 December 2026* This field is required.
7
Athlete SHIRT size* This field is required.
8
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
9
Phone Number
Please enter a valid phone number.
10
Parent/Guardian 1 Name
11
Parent/Guardian 1 Phone Number
Please enter a valid phone number.
12
Parent/Guardian 1 Email* This field is required.
example@example.com
Confirm Email
13
Parent/Guardian 2 Name
First Name
Last Name
14
Parent/Guardian 2 Phone Number
Please enter a valid phone number.
15
Parent/Guardian 2 Email
example@example.com
16
Emergency Contact Name* This field is required.
17
Emergency Contact Phone Number* This field is required.
Please enter a valid phone number.
18
Emergency Contact relationship to Athlete* This field is required.
19
Do you wish to add another emergency contact?* This field is required.
YESNO
20
Emergency Contact 2 Name
21
Emergency Contact 2 Phone Number
22
Emergency Contact 2 relationship to Athlete
23
Medicare card number:* This field is required.
24
Athlete position no. on card:* This field is required.
25
Medicare card expiry date:* This field is required.
26
Do you have private health cover?* This field is required.
YESNO
27
If yes, who is your cover with?
28
In case of an emergency, do you give permission to call an ambulance?* This field is required.
YESNO
29
If no, please provide your requested action plan in case of emergency:
30
Do you/the parent/guardian of the athlete give qualified staff permission to perform FIRST AID when required?* This field is required.
YESNO
31
If no, please provide an alternate action plan when first aid is required:
32
Does the athlete have any medical conditions that we need to be aware of?* This field is required.
YESNO
33
If yes, please provide more details (you may be required to provide an action/care plan or clearance to continue enrolment in our classes):
34
Does the athlete have any allergies that we need to be aware of?* This field is required.
YESNO
35
If yes, please provide details (you may be required to provide an action/care plan to continue enrolment in our classes):
36
Has the athlete had any recurrent or recent injuries that might have an effect on their involvement in all aspects of Cheerleading and Dance e.g. broken bones, torn ligaments etc?* This field is required.
YESNO
37
If yes, please provide details (please be aware the athlete may need a doctor’s certificate stating that they are ok to train and/or perform, prior to commencement of classes):
38
Is there any other medical information you may need to provide to us? If yes, please list below:
39
Which classes are you enrolling in for 2026?* This field is required.
Recreational Cheerleading/Dance
Tiny Tumble (TBA)
40
By selecting yes below, I/we agree I/we have READ and UNDERSTAND and ABIDE By all information in the FCCD 2026 Parent & Athletes Code of Conduct* This field is required.
YES
NO
41
RISK, ACCIDENT WAIVER AND LIABILITY RELEASE* This field is required. To ensure the health and safety of all participants, please read the following waiver carefully, and sign after reading, understanding and agreeing to the potential risks involved in participating in Cheer and Dance. I hereby assume all the risks of participating at Fraser Coast Cheer & Dance. I certify that any injuries occurred to me/my child or the others due to misuse of equipment, negligence of rules or dangerous actions are solely my responsibility and not the responsibility of the organisers or those in charge of the activity at the time. I acknowledge that this activity may involve a test of a person’s physical and mental limits and may carry with it potential risk for property loss, serious injury or death. The risks may include, but are not limited to, those caused by facilities, condition of participants, equipment and actions of the other people, including, but limited to, participants, coaches, spectators and those in charge of the activity at the time. I hereby give consent to receive medical treatment which may be deemed advisable by those in charge in the event of injury, accident and/or illness during the activity. I acknowledge that this Accident waiver and release form, will be used by those in charge of the activity that it will govern actions and responsibilities and set activity. The undersigned parent and/or guardian does hereby represent that he/she is, in fact, acting in such capacity, has consented to his/her child/ren’s participation in the activity or event, and has agreed individually and on behalf of the child, to the terms of the accident waiver and release of liability as per above. The undersigned parent or guardian further agrees to save and hold each and all of the parties referred to above from all liability, loss, cost, claim or damage whatsoever which may be imposed upon set parties and release set parties on behalf of the minor and the parents legal guardian. This agreement does not in any way enter you into an abiding contract of financial nor training commitments as per the training and financial policies. By ticking the box below, I agree to allowing myself/my child to use the facilities/equipment (INCLUDING the trampoline and foam pit) provided by Fraser Coast Cheer & Dance and understand all the risks involved. I further agree that I/my child will be held liable for their actions and possible consequences of using the equipment/facilities.
I ACKNOWLEDGE & AGREE I DO NOT WISH TO PROCEED
42
PHOTO & MEDIA RELEASE* This field is required.Photography & Media Release Form Welcome to Fraser Coast Cheer & Dance. We kindly ask that you complete this form to let us know how and where we are permitted to use photographs and videos taken during our classes, events, and competitions. Important Information for Competitive Athletes · Athletes in our Competitive Teams are required to provide full consent, as photos and videos are often taken at competitions and may be used by event providers, organisers, and the studio. · Training sessions are also regularly recorded by coaches. These recordings help athletes review routines, improve skills, and prepare for competitions. · Training videos are shared privately with team members and coaches on Band for review purposes. They are not shared publicly unless full consent has been provided. If you have any questions or concerns about media use, please speak directly with your/your child’s coach. Thank you for your cooperation in helping us celebrate and showcase our athletes’ achievements while supporting their growth. If you do take and/or distribute photographs/videos of athletes without this consent during classes, you are in direct breach of this consent and could face penalties because of this. PLEASE NOTE: We regularly record routines during training for coaches and athletes to review and practice. These videos are shared with the team, however, they are not publicly shared. Please speak to your/your child’s coach if you have any concerns regarding this. I (Athlete/Parent/Carer/Guardian) hereby consent to the use of photographs/videos of me/my child as indicated below, and I understand I can always revoke or change the consent at any time by contacting Fraser Coast Cheer & Dance in writing. I allow the use of:
Photos
Videos
Mentioning of Athlete name along with Photographs/Videos allowed
I do not allow the use of my child's photo/video to be used under any circumstances (except for the recording of training videos as mentioned above)
43
PHOTO & MEDIA RELEASE (part 2)* This field is required.
on Facebook
on Other Social Media (e.g. Instagram/Tik Tok etc)
on Newsletters/Posters hung around studio
on Local Media
in Emails
on Advertising/Marketing/Promotional material
NONE of the above
44
Please tick that you agree to each of the following after reading all policies, rules, terms and conditions etc. You can review all the terms and conditions by clicking here (add link)* This field is required.
I/we have read and understand the Athlete and Parent Code of Conduct
I/we have read and understand the Fees, Payment and Refund Policy
I/we have read and understand the commitment requirements of a Competitive Allstar Athlete
I/we understand the Studio Policies, General Rules and Conditions
I/we understand the risks involved with and related to Cheerleading & Dance
I/we have read and understand the 2026 Participation Waiver
I/we give media use rights permission as per the Media Release
45
I, as the person completing this form for myself (or my child if under 18yrs old) hereby confirm that all the above information is current and correct. It is agreed that both Parent/Guardian and the above mentioned athlete, fully understand what is expected of me/us and the commitment I/we are agreeing to, and all the associated risks involved in participating in all aspects of Cheerleading and Dance, including but not limited to bodily injuries, psychological/physical illness.* This field is required.
I/we agreeNO, I/we do NOT agree
46
Signature* This field is required.
Should be Empty: