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**Each participant must have their own registration form. Please make copies as needed.**
Coaches Certification and Jump and Tumble Clinic
Registration
Form
Please return Waiver & Registration
Form WITH PAYMENT
for clinic fees & items ordered to:
Hardin County Family YMCA, Attn: Jami/CheerBandz Clinic, 918 West Franklin Street, Kenton, Oh 43326
REGISTRATIONS MUST BE POSTMARKED BY FRIDAY, MAY 15 (for the May 29-30 Clinics)
OR
REGISTRATIONS MUST BE POSTMARKED FRIDAY, JULY 31 (for the August 14-15 Clinics)
Participant Name:________________________________________
Birthdate:_____
____________
Address:__________________________________________________________________________________
Cell phone:______________________________________________________Text:
Yes
NO
E-mail______________________________________________________________________________
School/Gym:
Any medical conditions/limitations or current medications being taken that our staff should be aware of:
_____________________________________________________________________________________
_________________________________________________________________________________________
If participant is UNDER AGE 18:
Parent/Guardian Name(s)_____________________________________________________________________
Cell phone:______________________________________________________Text:
Yes NO
Email for Registration Confirmation:___________________________________________________________
PARTICIPANT/PARENT/GUARDIAN INDEMNIFICATION AGREEMENT
In consideration of the acceptance of this application by CheerBandz/Made To Move Tumbling/Hardin County Family
YMCA on behalf of the applicant:________________________________________who is of age or the undersigned
parent (or guardian) of said applicant (who is not yet of age) does/do hereby promise and agree to indemnify and save and
keep harmless said CheerBandz/Made To Move Tumbling/Hardin County Family YMCA against any and all loss,
damage, or expense which they may sustain or be liable for in the consequence of the acceptance of the application and/or
performance of the course of instruction contemplated therein. We, the undersigned and each of us do further waive,
release and relinquish to the CheerBandz/Made To Move Tumbling/Hardin County Family YMCA, it’s instructors, agents
or employees, Board of Directors, and liabilities for injuries or damages occurring to the person or property of our
son/daughter or ward during the course of instruction as a participant in CheerBandz/Made To Move Tumbling/Hardin
County Family YMCA under the auspices of CheerBandz/Made To Move Tumbling/Hardin County Family YMCA in the
same manner of said liabilities are waived and released by the applicant to which this indemnification is attached. The
indemnification and obligation shall be binding personally and upon the estates of the undersigned.
The undersigned gives permission for any photos or videos to be released to local and/or social media taken during these
activities for advertising or promotional material.
In the event of illness or injury of my child and reasonable attempts to contact me, having been unsuccessful, I hereby
give my consent to have any treatment deemed necessary by a local licensed physician or dentist and the transfer of the
child to the nearest local Hospital, if necessary.
Participant/Parent/Guardian’s Signature_________________________________________________________Date:______________
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Participant Name_________________
Please circle what you are registering for:
COACH CERTIFICATION
$65 per coach
Qty:_____________ X $65 =_____________
6-9:30 p.m. on Friday plus one 2-hour session on Saturday. Wear work-out clothing. Bring water.
May 29-30, 2015
August 14-15, 2015
JUMP CLINIC
$40 per athlete
Qty:_____________ X $40 =_____________
Wear cheerleading work-out clothing. Hair secured out of face, Cheer/Tennis shoes. Bring water.
May 30, 9-11 a.m.
May 30, 2-4 p.m.
August 15, 9-11 a.m.
August 15, 2-4 p.m.
TUMBLING CLINIC (Levels 2-3) $40 per athlete
Qty:_____________ X $40 =_____________
May 30, 11:30a.m. -1:30 p.m.
May 30, 4:30-6:30 p.m.
August 15, 11:30 a.m.-1:30 p.m.
August 15, 4:30-6:30 p.m.
PRE-ORDER YOUR CHEERBANDZ KITS
Circle your order below:
COACH KIT ($240 ea. includes all 6 videos plus 100 Bandz for your practices, $60 off list price plus 10 free bands)
Qty:_____________ X $240 =_____________
JUMP KIT
($49.95 ea. includes instructional videos plus 12 Bandz)
Qty:______________ X $49.95=____________
TUMBLING KIT
Circle your order:
($49.95 ea. includes instructional video plus 15 Bandz)
Level 1
Level 2
Level 3
Level 4
Level 5
Qty:______________X $49.95=_____________
Total Due =__________________
Less any Discounts:____________
Available Coach and Participant Discounts:
Participants who register for both Jumps and Tumbling and save $10 off registration costs.
Bring 3 or more Coaches from the same school/gym and receive $5 off each Registration ($60 each).
Receive $5 off one Coach Registration for every 5 athletes who attend one session.
Total Enclosed=________________
Want to pay by credit card? Please check here ____________ and Jami will call you to get that information.
Please give the best number to be reached after 5 p.m._________________________________________.
Please return Waiver & Registration Form WITH PAYMENT for clinic fees & items ordered to:
Hardin County Family YMCA, Attn: Jami/CheerBandz Clinic, 918 West Franklin Street, Kenton, Oh 43326
REGISTRATIONS MUST BE POSTMARKED BY FRIDAY, MAY 15 (for the May 29-30 Clinics)
OR
REGISTRATIONS MUST BE POSTMARKED FRIDAY, JULY 31 (for the August 14-15 Clinics)
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JUMP KIT OVERVIEW
DEVELOPMENT KIT OVERVIEWS
Our specific level drills will help develop proper body positioning
for optimal tumbling, strengthen critical muscle groups,
increase flexibility, and create muscle memory that will allow
you to develop and maintain a cleaner and higher scoring
technique for your tumbling.
It is critical that you master each skill in all Levels before
moving to the next. If you have not developed the specific
muscle groups and increased flexibility then starting out at
anything other than Level 1 can be challenging.
Our goal at CheerBandz is to prevent injury. You can reduce
the chance of injury by properly strengthening critical muscle
groups, increasing flexibility, and stacking each All-Star
Level appropriately.
WHAT’S INCLUDED IN EACH KIT
Instructional DVD that walk you through each respective skill.
15 Bandz. Why 15? This will give you two sets of three,
two sets of two, and five singles.
HOW DO I KNOW WHICH LEVEL TO BUY?
Level 1 Skills: Foundation of all Tumbling For the athlete
who is new to tumbling, or the Cheerlete that rushed
through Level 1 without properly developing the basic
building blocks of tumbling, the CheerBandz Development Kit
- Level 1 is a must have.Skills include: Handstand, Forward
Roll, Backward Roll, Cartwheel, Round off, Back Walkover,
Front Walkover
Once you’ve conditioned your body and built a great
foundation, you are ready to move on in your tumbling
development.
Level 2 Skills: Moving On You will utilize drills to help
strengthen critical muscle groups, increase flexibility, and
create muscle memory that will help develop and
strengthen your ability to tumble cleaner as a true Level 2
athlete. Skills include: Handstand, Back Handspring, Front
Handspring, Back Extension Roll
Level 3 Skills: Moving Up This level will ask for more
strength in tumbling because this is the introductory level
into airborne tumbling skills.
Skills include: Handstand, Aerial, Front Punch, ¾ Front Flip,
Running Back Tuck
Level 4 Skills: The Challenge You are one awesome
cheerlete! You want a challenge? Here it is! This offers one of
the most challenging skill sets in our sport.
Skills include: Handstand, Standing Tuck, Front Aerial, Whip,
Onodi, Layout
Level 5 Skills: Bring It All In Tumbling at the elite level
demands a lot from our bodies, physically and mentally.
Strength, technique, "want to", and guts are all on that list of
demands. You must put all this together to reach Level 5.
Skills include: Handstand, Full/Double Full, 1-1/2 Full,
Arabian, Standing Full
Jumps, Jumps, and more Jumps! Our CheerBandz Jump
Development Kit is our most popular kit, for obvious reasons.
Whether you cheer for your school or All-Star Gym,
jumps are always scored and required.
Jumps are an area where you can see the most
improvement in the shortest period of time.
So jump on this Jump Development Kit offered by
CheerBandz! Jump Skills: Toe Touch,Around the
World,Pike/Hurdler, Herkie
WHAT’S INCLUDED IN EACH KIT
Instructional DVD that guides you through each drill
assigned to each jump. This will allow you to take your
private jump lessons wherever you are!
12 Bandz. Why 12? This will give you two sets of two (for
double resistance), two set of three (for triple resistance),
and five singles.