Registration SS COMPETITION CHEER SEASON 26 Form *

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Welcome to SSCC's online registration!! Once completed you will be contacted by SSCC Membership within a few days. A down payment is required within 5 days of registration. If you are not able to pay in full at this time, we do have a 3 payment option. Please continue to fill out this online form Thank you!SSCC - Stafford Sparklers COMPETITION CHEER
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The SSCC Organization's mission is to create an environment where a child can learn the fundamentals of competitive cheer, develop self-esteem and a positive attitude through participation in a team sport, experience the many mental and physical benefits of sportsmanship and competition.
To enable the organization to continue to provide training and competitive opportunities to it's members, it is important and mandatory for all members (families) to be actively involved in ALL fundraising campaigns in their current cheer season.
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Participant's First and Last Name:* This field is required.
First and Last Name
Nickname if any
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Home Address:* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
United States
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Other
Country
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Home Phone:* This field is required.This can also be a cell phone if you prefer
Area Code
Phone Number
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Birth Date:* This field is required.Please enter 2 digit month - 2 digit day - 4 digit year (please add hyphens)
Month
Day
Year
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Gender:* This field is required.
Please Select
Please Select
Male
Female
Prefer to self describe
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T-Shirt Size:* This field is required.Please indicate Adult or Youth Sizes
Please Select
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
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Has this athlete participated in any cheerleading program prior to this registration?
YESNO
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If you chose yes to prior cheerleading, which program did your child participate in and how many seasons have they cheered? blank fields and text.
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Grade Entering AND School attending September 1, 2025* This field is required.
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I authorize the SSCC Organization to use my child's image and/or likeness in official media, including: Our website, promo material, newsletters and related media.* This field is required.
Yes
No
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Parent/Guardian #1 Full Name* This field is required.
First Name
Last Name
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E-mail:* This field is required.
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Home Phone:* This field is required.
Area Code
Phone Number
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Cell Phone:
Area Code
Phone Number
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Can you accept text messages?* This field is required.
Please Select
Please Select
Yes
No
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Parent/Guardian #2 Full Name:
First Name
Last Name
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E-mail:
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Home Phone:
Area Code
Phone Number
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Cell Phone:
Area Code
Phone Number
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Can you accept text messages?
Please Select
Please Select
Yes
No
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Parent/Guardian Bonus Parents - Both Full Name:Please list all names below
First Name
Last Name
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Home Phone:Bonus Home home phone number
Area Code
Phone Number
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Cell Phone:Please list 2 cell numbers if needed below
Area Code
Phone Number
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Can you accept text messages?
Please Select
Please Select
Yes
No
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Full Name:* This field is required.In case of an Emergency notify:
First Name
Last Name
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Relationship to Athlete:* This field is required.
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Home Phone:* This field is required.
Area Code
Phone Number
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Cell Phone:
Area Code
Phone Number
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MEDICAL AUTHORITY STATEMENT:* This field is required.THIS IS A LEGAL LIABILITY DOCUMENT I, the undersigned parent/guardian, do hereby grant permission for my child to attend cheer/dance events sponsored by and conducted by Stafford Sparklers Inc. In order for my child to receive the necessary medical treatment in the event of an injury or illness, I hereby authorize the Stafford Sparklers Inc.’s Staff Members to obtain medical treatment for my child for such injury or illness during any event, and I hereby hold the Stafford Sparklers Inc., including but not limited to, The University/ College/ Host School/Venue Or Institution and their representatives harmless in the exercise of the authority. I further acknowledge, understand and agree that in participating in these events there is a possibility of physical injury or illness and that my child and I are assuming the risk of such injury or illness by his/her participation.
YES
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WAIVER & RELEASE FORM:* This field is required.THIS IS A LEGAL LIABILITY DOCUMENT I, the undersigned parent/guardian, do hereby give permission for my child to attend and to participate in cheer/dance events sponsored by the Stafford Sparklers Inc. I hereby acknowledge that by attending and participating in cheerleading events that there is a possibility of physical illness or injury to my child and I do hereby for myself and all others who might have a similar claim waive, release and forever discharge any and all rights and claims for damages, which may arise now or in the future against the Stafford Sparklers Inc., including but not limited to, its owners, operators, officers, agents, or representatives, for any and all damages which my child may sustain or suffer while attending and participating in the events. It is expressly understood that I agree to reimburse, indemnify and hold harmless Stafford Sparklers Inc. for any claim, interest or subrogation by any person, company, corporation, or association that may arise regarding this event or waiver. It is also understood that I will be responsible to Stafford Sparklers Inc. for counsel fees and costs related thereto.
YES
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Health/Physical Limitations (if any): Important! Please take time and be specific* This field is required.PLEASE WRITE IN ANY OF THE FOLLOWING BELOW, IF IT PERTAINS TO THE PARTICIPANT. Injury or illness, asthma, diabetes, any prescribed or over the counter medications, surgeries, allergies to medications insects, pollen, latex or food, anemia, blood disorders, any previous concussions, seizures, headaches, chest pain, heart murmur, high blood pressure, elevated cholesterol level, restrictions from sports for heart problems, vision problems, wear contacts or protective eye wear, hearing loss problems, nasal fractures or frequent nose bleeds, wear braces or retainers or protective mouth gear, frequent strep or conditions of the throat, any neuro-muscular or orthopedic conditions, sprain or strain, pinched nerve, dislocated joint, swelling or pain in muscles tendons, bones or joints, upper or lower back pain, fracture of any kind, or wear protective braces or equipment, difficulty breathing after running a mile or coughing, wheezing or shortness of breathe when weather changes, exercised induced asthma, viral infections, heat related problems as dehydration, dizziness, fatigue? IF THERE ARENT ANY PLEASE WRITE NONE
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Doctor's Name and Phone Number:* This field is required.
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Health Insurance Carrier:* This field is required.
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Policy#:* This field is required.
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Season generally begins in SEPTEMBER ends APRIL INTO MAYdepending on competition producer's booking of availability. Tiny and Teeny Tiny Team practice once per week

Youth Team practices 2/3 times per week

Junior /Senior Teams practice 3 times per week

Tumbling is included in practice schedule as one of the days for about 10-12 sessions for our Mini to Senior teams. Tiny teams will tumble only if registered for tumbling.

Tiny Team normally showcases 3-4 times, including our annual showcase

Mini and Youth Teams will take part in approximately 4-5 competitions including our annual showcase

Junior/Senior Teams will take part in approximately5- 6 competitions including annual showcase

Cheer-abilites will take part part in approximately 3-4 competitions and our annual showcase

Practices, Extra Practices, Clinics, Competitions and Showcases are MANDATORY AND REQUIRED for ALL TEAMS AND ATHLETES

Competition season generally runs from mid January till end of April. We try to get our competition schedule by December 1st the latest to hand out to families so they can plan their weekends during those months.
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We utilize a free group messaging app to keep all in touch with team parent to parent communication. You can utilize it with a smart phone, with-in text messaging or on a computer. Are you able to participate with this form of communication?* This field is required.
yes
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Are you interested in getting involved within the organization (ie: team parent, fundraising committee, showcase committee, banquet committee, or other etc)* This field is required.
YESNO
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Please choose one payment plan. If registering more than one child the next window will allow you to choose to receive the extra 10% for second child in same family. You will need to put down a registration deposit of $100 for the season for each child. Please choose below how you plan on paying balance of registration or . You can also send email to ssccheernj@gmail.com with any questions. No refunds* This field is required.
Payment Plan to be split over few payments, first payment of $100 due immediately, and the last 2 can be worked out with balance due October 15,2025
Paying in full after initial deposit
2nd or 3rd child registration will receive 10% off (check here)
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If registering more than one child choose below
If you are registering more than one child in family, please choose to receive extra 10% off for second/third/fourth child , after completing this application for first child, please start new application for second or third, etc.
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SSCC Registration Deposit (non-refundable)* This field is required.Please choose $100 deposit amount below, then you will be able to enter Credit Card Information. Thank you !
prevnext( X )
100.00
USD
Description
USD
+$100.00
Credit Card SSCC Registration Deposit
First Name
Last Name
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I further understand that Stafford Sparklers Competition Cheer Organization has established rules and regulations pertaining to conduct, behavior and activities of all cheerleading participants, by which my child must abide during participation in this activity and that my child and I will be responsible for his/her failure to abide by those rules and regulations as per the SSCC Policy, Procedure, Participation Agreement. The SSCC Policy, Procedure, Participation Agreement will be done on a separate form. My child and I have read and understood the Medical Consent/ Release and Waivers. No refunds. Thank youSignature of Parent/Guardian if under 18 or Signature of Participant if 18 - Arrow down, left click mouse and use finger on pad to sign name
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