Team England Pom National Development Camp
Welcome to Team England Pom's National Development camp registration, offering an exciting opportunity for athletes across England to progress their Pom skills, with special guests Team England Pom Doubles athletes, Rosie, Marv and Soffia. Please complete this booking form to register for the Camp. Camp costs are £30 which must be sent after submitting this form. Bacs Payment to: SC-60-21-57 AC-62469258 (J.Smart) Please Ref Athlete Name. *All proceeds raised from the NGB goes directly into helping the Senior National Team.
National Development Camp - November 21st
Camp times - 14:00-17:00. Register/ Arrival time - 13:45. Youth & Junior athletes ages 12 -18. *Groups will be set on arrival based on skill level to ensure all dancers are working at their level. Venue - Cheer Athletics/ Dance Athletics Telford. Unit A3, Halesfield 5, Telford, TF7 4QJ. (Free parking). Parents may wait during camp in the reception area and watch on the screens if they wish.
Which Camp would you like to book:
National Development Camp *With Special guests. November 21st - Telford
Athlete Name/Participant Name
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First Name
Last Name
Athlete DOB
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Day
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Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Parent/Guardian Name (If under 18)
First Name
Last Name
Email (Parent/Guardian email if athlete is under 18)
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example@example.com
Emergency Contact number
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Please enter a valid phone number.
Format: (00000)000000.
Emergency Contact Name
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First Name
Last Name
Current Dance Program / Team
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If no current program/ Team please provide previous with 'previously' within the box
Please list any medications the participant is taking, and any physical/psychological limitations, health conditions or injuries that may affect the dancer’s ability to participate in sessions at Team England Pom
I understand that there are risks of physical injury associated with, arising out of and inherent to the activity of dance. In recognition of this acknowledged risk of injury, I knowingly and voluntarily waive all right and/or causes of action of any kind, including any and all claims of negligence arising as a result of such activity from which liability could accrue to Team England Pom, it’s officers, agents, employees, instructors, subsidiaries, parent corporations, and all affiliated entities (hereinafter collectively referred to as ‘Team England Pom’). I hereby agree to release Team England Pom and hold Team England Pom harmless of all liability, and hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury arising out of active participation in dance on behalf of the participant. I am aware that this is a release of liability and an acknowledgement of my voluntary and knowing assumption of the risk of injury. I have signed this document voluntarily and of my own free will in exchange for the privilege of participation. If I am a minor, my parent and/or legal guardian has signed this document releasing Team England Pom from and any and all such liability described above and has acknowledged that I am knowingly and voluntarily assuming all risks of injury inherent to this activity. I give my permission/ permission for my child to participate in Team England Pom events. I give Team England Pom permission to use My/My child’s picture in or on any form of advertisement for Team England Pom or a Team England Pom affiliated event. I Understand that My/My child's information will be used for the sole purpose of the Team England Pom NDP. I Understand that My/My Child's information may be shared with SCE.I warrant the information given is complete and correct for Myself/My Child.
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Full name of person signing above (Parent/Guardian if athlete under 18)
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First Name
Last Name
Date Signed
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Day
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Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Team England Pom
We anticipate that camps will reach capacity. Team England Pom management will be monitoring the capacity of each camp regularly. If a camp reaches capacity, it will be removed as an option to book. On this occasion, please email: teamenglandpom@yahoo.com to be added to a waiting list for a specific camp.
To allow us to best plan for your upcoming camp/camps please use the multiple choice options below to tick which skills you are Confident in performing. (Please note, all skills are NOT required. Gathering this information will help TE Pom coaches tailor specific camp groups suited to YOUR skill level, if you are unsure on a skill please leave it blank).
Toe Touch
Grand Jete'/ Straight Leap
Double Pirouette
Tilt Jump
Calypso leap
3 A la Secondes (to a stop or pirouette out)
Triple Pirouette
spinning disc/turning disc
Firebird
Side Aerial
Kip Up
Headspring
Front Aerial
change spot a la Secondes
Quad Pirouette
A la secondes into float
fast change spot a la secondes
Submit
Should be Empty: