Download Report

How to Register for FAME ALL STARS for the 2013-2014 Season
Read the Entire Handbook and Financial Agreement for the 2013-2014 Season. Sign page 7 and turn in to the Office
Complete Tryout Form and Athlete Profile
Fill out the Release Form and Auto Debit Form
Pay Registration Fee for the 2013-2014 Season
Registration Fees
Registration April 9-23
$100---Early Bird Registration Fee
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Yearly Registration Fee
Evaluation Fee
Unlimited May Tumbling
Opportunity to Purchase Uniform at $200
Opportunity to Pre-Purchase Practice Wear/VIP Pick up at Walk Through Day
Registration April 24-May 2
$125—Registration Fee
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Yearly Registration Fee
Evaluation Fee
Unlimited May Tumbling
Opportunity to Pre-Purchase Practice Wear
Opportunity to Purchase Uniform at $200
Registration after May 2th
$150-Registration Fee
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Yearly Registration Fee
Evaluation Fee
Unlimited May Tumbling
FAME Virginia Beach Team Evaluations- Please come any time either day
May 22nd
5:30-8:00pm
May 23rd
5:30-8:00 pm
All Level 5 athletes***
________________________________________________________________________________________________________
Registration Checklist (All items below should be collected and turned in together)
_____ Return Registration/Emergency Release Form
_____ Return Tryout Form
_____Return Auto Debit Form
_____ Return Athlete Profile
_____ Read Online Handbook and Return-Page 7
_____ Registration Fee Payment
_____USASF Member Registration (You only do this once)
FAME ALL-STARS
Page 1
HANDBOOK 2013-2014
FAME ALL STARS
VIRGINIA BEACH
WELCOME TO FAME ALL STARS!!!!
We are happy that you have chosen to be a part of FAME! We are excited to announce that this is our 10 th year in
business; we hope that you will continue this journey with us, and have a long and rewarding relationship with our
FAME Family!
Over the last 10 years, FAME ALL STARS has established itself as one of the top All Star Cheerleading programs in the
Country. To date our teams have accumulated hundreds of National, State, and Grand Champion Titles, along with
numerous specialty and choice awards. FAME has also earned an impressive 42 bids to the Cheerleading Worlds; the
record for any gym in Virginia! By attending some of the most competitive and prestigious tournaments in the world,
our athletes and teams have made a name for our program and have solidified FAME All Stars as a successful and
respected program that ranks among the nation’s elite.
While we are proud and driven to continue to build upon the success of our program and athletes, our most
important priority is FAME’s mission to inspire self-confidence, promote self-discipline, teach teambuilding skills, and
build everlasting friendship through cheerleading. We pride ourselves on setting high standards for our coaches,
athletes, and parents; therefore, we are dedicated and committed to training our athletes to achieve their goals and
believe in themselves, on and off the cheerleading mat.
We are able to carry out this mission through the instruction of our World Class Staff. FAME has the most loyal,
talented, credentialed, and experienced coaches in Virginia, who are dedicated to seeing our athletes reach their
fullest potential. FAME coaches are more than just cheerleading coaches; they are mentors and positive role models
for our athletes. Every coach takes pride in watching all of our athletes grow each day in life and in cheerleading. We
hope that every athlete graduates from FAME with the fundamental lessons to help them be successful in all of their
future endeavors!
Although FAME is one of the biggest programs in the country, we are first and foremost a FAMILY. Above all else, we
pride ourselves on having a wholesome, positive, and encouraging environment where the cheerleaders LOVE to be!
We strongly value sportsmanship, dedication, integrity, compassion, and having FUN!
When you come to FAME you will train in a top notch facility, be instructed by amazing coaches, and become part of
one of the top programs in the country for a lower cost than most of our competitors. We are excited to welcome
you to the FAME Family!
FAME ALL-STARS
Page 2
ATHLETE RULES OF CONDUCT
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No profanity or abusive language will be tolerated.
If an extracurricular activity regularly interferes with our mandatory practices or competitions, you will have to
choose which activity you will continue.
Each team will be assigned other teams to watch at competitions, you are required to stay and support these
teams!
All athletes will show good sportsmanship at all times.
FACEBOOK, TWITTER & SOCIAL NETWORKING WEBSITES ARE TREATED AS IF SPOKEN IN PERSON TO YOUR
COACH AND YOU ARE THEREFORE RESPONSIBLE FOR ANYTHING SAID ON THESE SITES. TRASH TALKING, BAD
MOUTHING, OR DISRESPECTING TEAMMATES, COACHES, OTHER PROGRAMS, OR FAME WILL NOT BE
TOLERATED!
You are required to pick up after yourself: don’t leave empty drink/food containers lying around the gym. This is
your facility so take pride in how it looks!
Athletes will be expected to wear FAME practice wear in accordance to the practice wear schedule.
Athletes are expected to be in full uniform at awards ceremonies during competitions: no jackets, pants, or shoes
other than cheer shoes!
While not competing or in awards ceremonies, athletes must wear a jacket or a cover-up over their uniform.
PARENT RULES OF CONDUCT
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Good Sportsmanship is mandatory at all competitions, practices, and gym functions.
Under no circumstance should you enter the practice area at the FAME gym or warm up areas at competitions.
Do not try to yell or get your child’s attention on the floor during practice, at the FAME gym, or warm up areas at
competitions. This is highly disruptive to the entire team and prevents your child or others from focusing on their
coaches and routine!
Do not gossip about other children, coaching staff, or other teams. Closed lobby practices will be implemented if
this becomes an issue.
Please feel free to speak to your coaches about any concerns; just remember to do it at the appropriate time. Do
not interrupt practices or team meetings. Please ask to speak in private if the matter is sensitive or confidential.
If you threaten to quit or pull child from the program you will dismissed from the program immediately.
It is your responsibility to know what is going on with your team, please check your email and the website
regularly!
Do not use practices or competitions as punishment for your child. This affects the success of every team member
as well as the program as a whole.
Never speak or approach a competition official or judge.
Please respect the decisions the coaching staff at FAME make. We have years of experience and will make the best
decisions for the entire team/program.
Please be aware that FAME is privately owned and operated, should parents or cheerleaders engage in behavior
that is unbecoming of a representative of FAME we reserve the right to remove parents or cheerleaders from the
program temporarily or permanently.
FACEBOOK, TWITTER & SOCIAL NETWORKING WEBSITES ARE TREATED AS IF SPOKEN IN PERSON TO A COACH
AND YOU ARE THEREFORE RESPONSIBLE FOR ANYTHING SAID ON THESE. TRASH TALKING, BAD MOUTHING, OR
DISRESPECTING TEAMMATES, COACHES, OTHER PROGRAMS, OR FAME WILL NOT BE TOLERATED!
FAME ALL-STARS
Page 3
ATTENDANCE, TARDINESS, AND ABSENCES
Practices are Mandatory. Athletes are only excused for serious illness or family emergency. Being an athlete on a
team at FAME is a commitment. Athletes are required to notify their team mom or coach if the plan on missing a
practice and receive approval from the coaches BEFOREHAND. Notifying the coach minutes before a practice starts
does NOT count as appropriate notification.
Excessive tardiness and absence are both harmful and disruptive to the team, and very discouraging for the coaches
and the other athletes on the team. Every single person is vital to the success of the team. If a cheerleader is
constantly late or missing from practice, proper actions will be taken with the best intentions of the team in mind. If
an athlete misses practice the week of a competition, the athlete will be replaced by another athlete so that the
team can be prepared.
Summer Practices: We realize that families take vacations during the summer. Please communicate these dates
directly to your Coach. Summer practices are a great time to work on individual skills. Coaches are prepared to spend
a lot of time tumbling and stunting during these practices. While every effort should be made to attend practices, all
practices become MANDATORY after Choreography.
Inclement Weather Policy: Every reasonable attempt will be made to open our doors for business on regular
scheduled practice days. However, in the event of severe weather conditions, the gym will decide whether to open or
not. Notification will be posted on the FAME Facebook page, twitter and on the website.
PAYMENTS, FINANCIAL OBLIGATIONS, POLICIES
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Auto Debit is the preferred method of payment and will save you up to 20% off a month!
Payments are due on the 1st of each month, all payments made after the 10th will have a $15.00 late charge
added to the account per month that the payment is late.
You will receive a monthly statement. Please make sure to keep your email address updated and current.
FAME accepts cash, all major credit cards, and personal checks.
Checks: all checks should be made payable to FAME with your child’s full name in the memo section (there is
a $30.00 return check charge). If at any time during the season you have more than 2 returned checks, FAME
will no longer accept personal checks from you.
All payments must be taken at the Café ONLY. Do not give payments to coaches during practice.
Do not make cash payments without getting a receipt.
If your account becomes more than 2 months delinquent, your account will be sent to collections and your
child will not be able to participate until your account is brought up to date.
It is your responsibility to keep up with your account.
During all gym closings and breaks FULL gym fees still apply. Coaches may call for extra or extended practices
without extra charge throughout the season, therefore the time “lost” during breaks is almost always gained
back.
FAME ALL-STARS
Page 4
TUITION AND FEES
REGISTRATION
Early Bird Registration (April 8-23)
$100
Early Registration (April24-May 4)
$125
Registration (After May 4th)
$150 (with May Tumble/ $60 without)
MONTHLY TUITION
Tiny Tots
$60 or $50.00 on auto debit
Boys
$60
Mini’s
$85 or $75.00 on auto debit
Youth, Junior, & Seniors
$125 or $100.00 on auto debit
Crossovers
$15 Monthly per Team
Sibling Discount
$15 Monthly (youth-seniors only)
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CHOREOGRAPHY/MUSIC FEE (Due with July Tuition instead of a competition fee)
Tiny Tots
$100
Mini’s
$100
Youth, Junior, Seniors
$150
Level 5
$200
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UNIFORMS AND PRACTICE WEAR
Uniform
$200 with early registration/$250 after May 4th
Practice Wear
$75 (includes 2 outfits for practice)
Competition Bow
$15
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COMPETITION FEES
Made in $100 Monthly Installments beginning June
Level 1-2
Level 3-4
Level 5
Crossover
FAME ALL-STARS
Approximately $550
Approximately $700
Approximately $800
Approximately $200
Page 5
REFUNDS
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FAME requires a 30 day written notice if your child decides to leave the program. This notice should be emailed to
Andrea at [email protected]
Please note your account will continue to be charged until written notice is received.
No refunds will be given for competition fees, choreography, tuition, or clothing for any reason at any time.
If your child quits the team prior to a competition, the account will NOT be refunded any competition fees. It
takes a lot of hard work on behalf of the coaches and the team members to get a routine ready for competition.
We register for competitions beginning in the summer in order to receive the best rates. If your child decides to
quit, we must find a replacement and train them to be ready to compete. Therefore, competition fees are not
refundable, even if your cheerleader leaves prior to a competition.
If you have to miss a competition for any reason and we have to find a replacement, you will not be refunded
those fees either.
FAB (Fame All Star Boosters)
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If you need help in these tough economical times to pay for your child’s tuition and fees, FAB might be the thing
for you! We work places from local Tides and Admirals games, all the way to special events such as NASCAR and
Indy Races at the Richmond International Raceway, and many things in between. You will be required to work a
specified amount of shifts per quarter to be eligible for payouts, but you will reap the rewards when you see just
how much it can help. We do have one rule you should know; you will be required to have FUN! Space is limited
and there is a membership fee and required uniform (T-Shirt and Hat/Visor) that you will purchase through FAB. If
you have questions about becoming a member or visit us online at www.leaguelineup.com/FAB
PRIVATE LESSONS AND ADDITIONAL ITEMS
Privates are an excellent opportunity for FAME athletes to grow and advance their skills. While we value the results they
provide, they must be conducted in the following way:
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All privates will be set up through individual instructors and are not set up through the gym.
Payments for Privates are paid directly to the coach.
IF YOU HAVE A BALANCE OF ANY TYPE AFTER the 10th of the Month you will NOT BE ALLOWED TO DO
PRIVATES until the balance is paid in full!
Additional items such as apparel, camps, etc. may not be purchased or participated in if you have a balance on
your account. Accounts must be paid first before getting any of the “extra” things.
TRADEMARK, LOGO & SELLING OF GOODS
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The name “FAME ALL STARS” and the FAME Logo are the property of Virginia Cheer Academy, LLC. and are
protected under law.
All items using the name/logo must be sold through the FAME office. This includes T-shirts, jackets, or any other
item that will display anything pertaining to FAME cheerleading.
Teams are welcomed to design shirts for special occasions, but all designs must be approved by Andrea and must
be sold through the FAME office.
ANY AND ALL ITEMS MUST GO THROUGH THE GYM.
Failure to abide by these rules will result in dismissal from the gym.
FAME ALL-STARS
Page 6
HANDBOOK & FINANCIAL AGREEMENT
This Agreement is made and entered into this
day of
, 2013, between VA Cheer
Academy, LLC dba FAME All stars (“FAME”) and
(“Responsible Party”).
The Responsible Party, as parent/guardian of
agrees as follows:
(“Athlete”) hereby
1.
I have read the entire Handbook and understand the commitment, standards and significant financial
obligation involved with joining a team and I agree to abide by the policies set forth therein.
2.
I understand that competitive cheerleading is a time consuming sport and it is my intention for my
Athlete to remain at FAME throughout the entire season. However, if I remove him/her for any
reason, I understand and agree that competition fees and tuition are non-refundable regardless of
whether my Athlete attends a competition.
3.
I agree to pay all fees due in full each month beginning the first month my Athlete joins the team and
continuing until he/she is removed from the program or the season ends.
4.
I agree to make payments on the first day of each month unless other arrangements have been made
with Andrea directly.
5.
I understand and agree that if my balance is not paid in full by the 10 th of each month, there will be a
late fee of $15.00 added to my account per month it is late.
6.
I understand and agree that if my account becomes more than two (2) months delinquent, it will be
sent to a collection agency and I will be liable for any and all fees associated with collection of the
account, including attorney’s fees.
7.
I understand and agree that if my account becomes delinquent, my Athlete may be asked to sit out of
practices and competitions until the account is caught up and I will not be refunded any money for
those missed practices and/or competitions.
8.
I understand and agree that if I remove my Athlete from the program, I must provide a 30-day
written notice to Andrea by emailing [email protected] and that charges will continue to accrue
until written notice has been received.
____________ _
Responsible Party – PRINT NAME
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Cheerleaders Name- PRINT NAME
FAME ALL-STARS
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Responsible Party – Signature
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Cheerleaders- Signature
Page 7
USASF GUIDELINES FOR TRY-OUTS
AGE BREAKDOWN
AS OF AUG 31 2013
TINY
3-5 YEARS OLD
MINI
6-8 YEARS OLD
YOUTH
9-11 YEARS OLD
JUNIOR
12-14 YEARS OLD
SENIOR
10-18 YEARS OLD
WORLDS
12-18 YEARS OLD
INTERNATIONAL 5
15 AND OVER
INTERNATIONAL 6
17 AND OVER
TUMBLING SKILLS PER LEVEL
LEVEL
LEVEL 1
LEVEL 2
LEVEL 3
LEVEL 4
LEVEL 5
STANDING TUMBLING
FORWARD ROLL
FRONT/BACK WALKOVER
BACKHANDSPRING
BACK WALKOVER BHS
STANDING MULTIPLE BACK
HANDSPRINGS…JUMPS TO BACK
HANDSPRING (s)
STANDING TUCK
BHS TUCK
JUMPS TO BHS TUCK
JUMPS TO STANDING TUCK
BHS SERIES TO FULL
RUNNING TUMBLING
CARTWHEEL
ROUND OFF BACK WALKOVER
ROUND OFF
BACKHANDSPRING(S)
ROUND OFF TUCK
ROUND OFF HANDSPRING TUCK
PUNCH FRONT
ROUND OFF BHS LAYOUT
FULL, SPECIALTY TO FULL,
DOUBLE
WWW.FAMECHEER.COM
FAME ALL-STARS
Page 8
IMPORTANT DATES
EVENT
Evaluations
DATE
May 22 and 23
TIME
5:30-8:30 pm Come either day, anytime
***Level 5 athletes come the 23
Team Placements
Walkthrough Day
May 28
May 30
First Practice
Choreography
June 2
July 14th (stunt/pyramid
choreography)
Gym Closings
FAME ALL-STARS
July 19-August 2
May 25-28
June 16
July 1-7
Aug 18-23
Sep 1-3
Oct 31
Nov 27-30
Dec 20-Jan 2
rd
Posted online after 5pm
3:00-5:00 VIP Hours
5:00-8:00pm Regular
TBA Based on Team Placements
Each Team will have 3-5 days of
choreography during this time frame
Memorial Day
Father’s Day
Fourth of July
Summer Break
Labor Day/Back to School
Halloween
Thanksgiving Break
Christmas/New Year’s Break
Page 9
FAME MAY 2013
SUNDAY
5
US FINALS
LEVEL 2-5 TEAMS
(SR 2)
MONDAY
6
GYM CLOSED
TUESDAY
7
FLYER TRAINING
6-7 (10 KIDS) $15 PER ½ HOUR
LEVEL 1-2 TRAINING
6-7
LEVEL 3-5 TRAINING
7-8
12
HAPPY MOTHER’S
DAY!!!
GYM CLOSED
19
LEVEL 1-2 TRAINING
2-3
LEVEL 3-4 TRAINING
3-4
LEVEL 5 TRAINING
4-5
26
GYM CLOSED
MEMORIAL DAY
WEEKEND
FAME ALL-STARS
13
TINY CHEER
5:30-6:30
LEVEL 1-2 TRAINING
6-7
LEVEL 3-4 TRAINING
7-8
LEVEL 5 TRAINING
8-9*
20
TINY CHEER
5:30-6:30
LEVEL 1-2 TRAINING
6-7
LEVEL 3-4 TRAINING
7-8
LEVEL 5 TRAINING
8-9*
27
GYM CLOSED
MEMORIAL DAY
WEEKEND
14
FLYER TRAINING
6-7 (10 KIDS) $15 PER ½ HOUR
LEVEL 1-2 TRAINING
6-7
LEVEL 3-5 TRAINING
7-8
21
FLYER TRAINING
6-7 (10 KIDS) $15 PER ½ HOUR
LEVEL 1-2 TRAINING
6-7
LEVEL 3-5 TRAINING
7-8
28
TRYOUTS POSTED 5PM
FAMECHEER.COM
WEDNESDAY
THURSDAY
FRIDAY
1
NORMAL PRACTICES
2
NORMAL PRACTICES
3
OPEN GYM
7-8:30 $5
8
LEVEL 1-2 TRAINING
6-7
LEVEL 3-4 TRAINING
7-8
LEVEL 5 TRAINING
8-9
9
FLYER TRAINING 6-7
(10 KIDS) $15 PER ½ HOUR
DANCE INTEREST 6-7
10
OPEN GYM
7-8:30 $5
15
LEVEL 1-2 TRAINING
6-7
LEVEL 3-4 TRAINING
7-8
LEVEL 5 TRAINING
8-9*
16
FLYER TRAINING 6-7
(10 KIDS) $15 PER ½ HOUR
DANCE INTEREST 6-7
22
EVALUATIONS
AGES 11-UNDER
5:30-8PM (COME ANYTIME)
23
EVALUATIONS
AGES 12-UP
5:30-8 (COME ANYTIME)
*TINY TOTS ARE NOT
EVALUATED
*TINY TOTS ARE NOT EVALUATED
*LEVEL 5 COME THIS DAY
29
LEVEL 1-2 TRAINING
6-7
LEVEL 3-4 TRAINING
7-8
LEVEL 5 TRAINING
8-9
30
WALK THRU DAY
VIP HOURS 3-5PM
Normal hours 5-8PM
SATURDAY
4
US FINALS
LEVEL 1 & 2 TEAMS
(MINI 2 ONLY)
11
(ages 12-under)
DANCE INTEREST 7-8
(ages 13-up)
POWER JUMP CLASS 7-8
17
OPEN GYM
7-8:30 $5
18
24
OPEN GYM
7-8:30 $5
25
GYM CLOSED
MEMORIAL DAY
WEEKEND
(ages 12-under)
DANCE INTEREST 7-8
(ages 13-up)
POWER JUMP CLASS 7-8
***VIP HOURS FOR AUTO
DEBIT AND PRE PURCHASE
PRACTICE WEAR ONLY***
31
OPEN GYM
7-8:30 $5
*to attend level 5
training you
must have
running full and
jump to back
unspotted.
Page 10
FAME ALL STARS TRYOUT FORM 2013-2014
ATHLETES FIRST NAME___________________ LAST NAME_________________________
PARENT EMAIL_____________________________________________________________
PARENT CELL ________________________ATHLETE CELL___________________________
AGE (AS OF AUG 31, 2013) _______BIRTHDAY_____/____/_____
I would prefer to be on a _____travel team
_____non travel team
_____no preference
TUMBLING SKILLS (PLEASE LIST YOUR HIGHEST UNSPOTTED SKILL)
STANDING___________________________________________________________________
RUNNING____________________________________________________________________
STUNTING
I AM TRYING OUT AS A (PLEASE CIRCLE) BASE
BACKSPOT FLYER
*This is for reference not a guaranteed spot.
DOUBLE TEAMING
I WOULD LIKE TO DOUBLE TEAM YES____ NO_____
I understand that by checking “Yes” I may or may not be put on 2 teams. However, if selected, I
understand that there are/may be additional fees. I also understand that by double teaming I am
committing to two teams for the season. I will not be allowed to “drop” a team.
_______________________
Athlete Signature
______________________
Parent Signature
____________________________OFFICE USE ONLY________________________________
JUMPS 1 2 3 4 5
STUNTING __________________________
RUNNING TUMBLING 1 2 3 4 5
STANDING TUMBLING 1 2 3 4 5
COMMENTS_________________________________________________________________________
___________________________________________________________________________________
FAME ALL-STARS
Page 11
REGISTRATION AND EMERGENCY RELEASE FORM
(This form must be filled out completely-Please Print)
ATHLETE INFORMATION
Athlete’s Name ________________________________Date of Birth ______________ Age as of 8/31/13 __________
Athlete’s Full Address ______________________________City ____________________ State ____ Zip ___________
Athlete’s Home Phone # _________________________ Athlete’s Cell # _____________________________________
Name of School 2013-2014 ________________________ Grade _______Athlete’s E-mail _______________________
PARENT/GUARDIAN INFORMATION
MOTHER’S INFO
Mother’s Name _______________________________________Mother’s E-mail _____________________________
Mother’s Home Phone # ____________________ Work # _________________________Cell #__________________
FATHER’S INFO
Father’s Name _______________________________________ Father’s E-mail ______________________________
Father’s Home Phone # _____________________ Work # _________________________Cell # _________________
EMERGENCY CONTACT INFORMATION
Emergency Contact ___________________________________Relationship to Athlete ________________________
Home Phone # __________________________ Work # __________________________ Cell # ___________________
MEDICAL INFORMATION
Athlete’s Physician _______________________________________Phone # _________________________________
Insurance Company _____________________ Name of Subscriber ____________________ Policy # _____________
Allergies/Medical Conditions
_______________________________________________________________________________________________
Medical Release and Liability Waiver
I, certify that ________________________________________ is physically capable and able to fulfill requirements needed to participate in all aspects of VA Cheer Academy, LLC’s
dba FAME ALL-STARS (hereinafter referred to as “FAME) program and hereby give consent for him/her to participate in all aspects of FAME’s program. I Hereby release, discharge,
hold harmless, covenant to indemnify and not to sue FAME, it’s directors, officers, employees, coaches, volunteers, managers, agents, sponsors, shareholders, and any associated
personnel, from any and all liability to each of the undersigned, his/her heirs or next of kin for any and all against any claim by or on behalf of the participant as a result of
participation in FAME’s program(s) and/or being transported to or from the same, which participation, after careful consideration I hereby authorize, and which transportation I
hereby authorize. This release includes any claims of negligence, and is intended to be as broad as is permissible under Virginia Law.
Statement of Hazards of Participating in Athletic/Cheerleading/Tumbling
I, the undersigned participant and parent/legal guardian of the above listed minor (if participant is under the age of 18) acknowledge and fully understand that each participant will
be engaging in activities that involve serious risk of injury, including but not limited to, death, serious neck, head and spinal injuries which may result in complete or partial
paralysis; brain damage; serious injury to virtually all internal organs; muscular skeletal system; and serious injury or impairment to other aspects of the body , general health and
well being and any other unknown risks not reasonably foreseeable at this time. I assume all the foregoing risk and accept financial responsibility for the damages following any
such injury.
Medical Treatment Release
If a medical emergency should arise during my child’s participation with VA Cheer Academy, LLC dba FAME ALL-STARS (hereinafter referred to as “FAME”) at a time when I am not
personally present so as to be consulted regarding his/her care, I hereby authorize any agent of FAME, on my behalf to take whatever measures are necessary to ensure that
he/she is provided with any emergency medical treatment including hospitalization, which FAME deems advisable in order to protect his/her health and well being and I agree to
be financially responsible for the cost of such assistance and/or treatment
_____________________________________________________________________
Parent/Guardian Signature
_________________________________
Date
_____________________________________________________________________
Cheerleader Signature
__________________________________
Date
FAME ALL-STARS
Page 12
FAME ALL STARS 2013-2014
AUTO DEBIT FORM
AUTHORIZATION FOR MONTHLY CREDIT CARD DEBIT
I authorize Virginia Cheer Academy (DBA FAME All-stars) to debit the credit card listed below on or
after the 5th of each month during the 2013-2014 cheerleading season (June 2013 thru April 2014) for
the total amount due on account. This amount will consist of monthly tuition/competition
fees/choreography fee. The competition fee will continue until competition fees are paid in full.
**Please read and initial each line**
_____ I understand that if my card is declined for any reason I will not receive my discount for that
month’s tuition
_____ I understand that it is my responsibility to notify Fame All-Stars prior to the 5th of new card
information i.e. card expired, card was lost or stolen, and if I fail to notify fame prior to the 5th I will
not qualify for my discount for that month
_____ I understand that if my card is declined for any reason more than once I will be removed from
the auto debit program and will no longer receive the monthly discount and will not be able to resign
up for auto debit within the same season
Childs Name _____________________________________________________________________
Card Type (please circle) VISA MASTERCARD AMEX DISCOVER
Account #_______________________________________________ Expiration_______/_______
Name As It Appears On Card ________________________________________________________
Signature of Credit Card Holder ______________________________________________________
Contact Info (h)_______________________________ (c) _________________________________
Email____________________________________________________________________________
ADDITIONAL NOTES_________________________________________________________________
_______________________________________________________________________________________________________________________________
FAME ALL-STARS
Page 13
2013-2014
ATHLETE PROFILE
ATHLETE’S NAME______________________________________________________________
ATHLETE’S DOB________________________________________________________________
ATHLETE’S CELL NUMBER________________________________________________________
ATHLETE’S EMAIL______________________________________________________________
PARENT’S NAME(S)
_____________________________________________________________
PARENT’S CELL NUMBER(S) ______________________________________________________
PARENT’S EMAIL_______________________________________________________________
FOOD ALLERIGES OR MEDICAL CONCERNS__________________________________________
____________________________________________________________________________
PLEASE CIRCLE YOUR SIZES BELOW
ITEMS
SHORTS
TSHIRTS
SPANKS
JACKET
SPORTS BRA
SIZE OPTIONS
YS YM
YL
AS AM
AL AXL
YS YM
YL
AS AM
AL AXL
YS YM
YL
AS AM
AL AXL
YS YM
YL
AS AM
AL AXL
YS YM
YL
AS AM
AL AXL
FAME ALL-STARS
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