November 15, 2014
Eastside Middle School
Located in Mt.Washington, KY
 T-Shirts given to each participant
 Mini/PeeWee and Youth-B/Youth-A Grand Champions will receive
individual trophies!!
 Middle/High School and School Grand Champion will receive individual
JACKETS!!
 Team trophies given to 1st, 2nd & 3rd place winners in each
division
 Individual medals for 1st place winners!
 Open to Youth League/Elementary School, Middle & High
School cheer teams
 Spirit Awards given in each session
 Live Cast on our website
 Only $15.00 per participant!!!!!
Door prizes, Cheer grams, Team pictures, Action Photos, Vendors and more!
For more information visit us on Facebook or email Carrie DeBold at
[email protected]
Cheer Registration and Routine Information:



$15.00 per participant which includes an event t-shirt
Three-session format with Session Starting at 9:00am.
Approximately one hour will be given between each session:
Session 1: Mini & Pee Wee divisions with awards to immediately follow
Session 2: Youth B and Youth A divisions with awards to immediately follow
Session 3: Middle and High School divisions with awards to immediately follow

















One Grand Champion will be awarded for each session.
A Grand Champion will be awarded from the Mini/PeeWee session and Youth-B/Youth-A session
with each registered team member receiving a trophy.
A Grand Champion will be awarded from the Middle/High School with each registered team
member receiving a jacket. The team winning Grand Champion will be given a certificate from
GTM Sportswear to order their jackets. This will allow for everyone to have their correct size and
team colors.
Warm-up times and schedule of events will be sent/emailed to coaches one week prior to the
competition.
No cheerleader will be allowed to compete without a waiver form completed.
In order to receive a T-shirt, your registration form, with T-shirt size for each participant, waiver
form and entry fee must be postmarked no later than October 17, 2014. A confirmation email will
be sent to the coach. Late registration will be taken until November 1, 2014.
Awards are based on the number and sizes of divisions, therefore no refunds will be given after
October 17, 2014 deadline.
Admission: $6.00 per adult, $3.00 school-aged children.
Cheer cannot exceed 2 ½ minutes – 10 point deduction (total).
No time limit on cheer or dance portion of the routine.
In case of a tie, the “Perfection of Routine” category will be used to break the tie.
School Cheer will follow NFHS Safety Rules, www.nfhs.com.
Safety violations will result in a 10 point deduction per infraction.
54’ x 42’ mat surface and mat time and warm-up will be provided.
No step off penalties.
The only props permitted are: megaphones, poms, flags and/or signs.
Bring 2 copies of your music.
There will be qualified judges scoring the cheer competition. The judging criteria are based on a 100
point system. If interested in a score sheet, please email me.
Cheer Divisions:










Mini Division (up to 2nd grade)
Pee Wee Division (up to 4th grade)
Youth B Division (up to 6th grade)
Youth A Division (up to 8th grade, youth leagues)
Middle School (6th-8th grade who cheer for a school team)
Junior Varsity (9th-11th grade, no maximum number)
Small Varsity (9th -12th grade, no more than 12 cheerleaders)
Medium Varsity (9th-12th grade, 13-16 cheerleaders)
Large Varsity (9th-12th grade, 17-30 cheerleaders)
Co-Ed Varsity (9th-12th grade, any males)
If your squad does not qualify in any of our listed divisions, please contact us ASAP! If divisions get to large, then splits will be made
based on number of participants.
2014 Eastside Cheer Challenge
CHEER Entry Form
School/Team Name______________________________________
Address where confirmation will be sent:
Street Address __________________________________________
City/State/Zip _________________________________________
Mascot__________________ School Colors__________________
Coach/Sponsor__________________________________________
Address (if different from school):____________________________________
Phone____________________________________
Very Important: Email Address____________________________________(make sure it is legible)
At our competition, each squad will be given a classroom to get ready in. This portion of the school will
only be accessible to cheerleaders and coaches. Please indicate other coaches that you would like to have
access to your classroom and warm-up area. You are only allowed 3 additional coaches. Those not listed
will have to enter the building through the General Admission gate.
Coach/Sponsor Name:_____________________________________
Coach/Sponsor Name:_____________________________________
Coach/Sponsor Name:_____________________________________
CHEER- Check a Division:
_____ Mini (up to 2nd grade)
_____ Pee Wee (up to 4th grade)
_____ Youth B (up to 6th grade)
_____ Youth A (up to 8th grade)
_____ Middle School (6th-8th grade)
_____ Junior Varsity (9th-11th grade)
Total Amount Due:
Cheer: Total # of Cheerleaders:
Additional Shirts Ordered:
_____
_____
_____
_____
Small Varsity (up to 12 members)
Medium Varsity (up to 16 members)
Large Varsity (17-30 members)
Co-Ed Varsity (any males)
______ x $15.00 = ___________
# of shirts ______ x $10.00 = ___________
TOTAL AMOUNT DUE: ___________
Please return the entry, waiver, and t-shirt order form along with your payment to:
Eastside Middle School
c/o Carrie DeBold
6925 Highway 44 East
Mt. Washington, KY 40047
If you have any questions, please contact Carrie DeBold at
(502)869-5000 or (502)550-5433 or by email at [email protected]
Reminder: In order to receive T-shirts, your information must be POSTMARKED by October 17, 2014
T-Shirt Order Form
Team Name:___________________________ Team Division:____________________
Please list cheerleaders name and T-shirt size:
1. Name____________________ Youth- S M L Adult- S
2. Name____________________ Youth- S M L Adult- S
3. Name____________________ Youth- S M L Adult- S
4. Name____________________ Youth- S M L Adult- S
5. Name____________________ Youth- S M L Adult- S
6. Name____________________ Youth- S M L Adult- S
7. Name____________________ Youth- S M L Adult- S
8. Name____________________ Youth- S M L Adult- S
9. Name____________________ Youth- S M L Adult- S
10. Name____________________ Youth- S M L Adult- S
11. Name____________________ Youth- S M L Adult- S
12. Name____________________ Youth- S M L Adult- S
13. Name____________________ Youth- S M L Adult- S
14. Name____________________ Youth- S M L Adult- S
15. Name____________________ Youth- S M L Adult- S
16. Name____________________ Youth- S M L Adult- S
17. Name____________________ Youth- S M L Adult- S
18. Name____________________ Youth- S M L Adult- S
19. Name____________________ Youth- S M L Adult- S
20. Name____________________ Youth- S M L Adult- S
21. Name____________________ Youth- S M L Adult- S
22. Name____________________ Youth- S M L Adult- S
23. Name____________________ Youth- S M L Adult- S
24. Name____________________ Youth- S M L Adult- S
25. Name____________________ Youth- S M L Adult- S
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
XL
XL
XL
XL
XL
XL
XL
XL
XL
XL
XL
XL
XL
XL
XL
XL
XL
XL
XL
XL
XL
XL
XL
XL
XL
One Coach per team will receive a free t-shirt:
Coach____________________ Youth- S M L Adult- S M L XL
Extra t-shirts CAN be pre-ordered this year for $10.00 per shirt and will be ready when
your team arrives. Please complete the information below and submit payment with your
entry form by October 17, 2014.
Number of extra t-shirts_________ x $10.00 = ____________Total Due
_____ Youth Small
_____ Youth Medium
_____ Youth Large
_____ Adult Small
_____ Adult Medium
_____ Adult Large
_____ Adult X-Large
Sorry, no 2XL’s available
2014 Eastside Cheer Challenge & Dance
Waiver Form
ALL INDIVIDUALS WISHING TO PARTICIPATE IN THE ABOVE NAMED
COMPETITION MUST HAVE A PARENT AND/OR GUARDIAN SIGNS THIS FORM!
We hereby agree to hold harmless Eastside Middle School, Bullitt County Public Schools,
their administration, their sponsors, their coaches, their cheerleaders/dancers and their
parents from all claims for personal injuries, death, damages, costs and/or other expenses,
including attorney fees arising from or in any way connected with our child’s participation in
the 2013 Eastside Cheer Challenge & Dance Competition held at Eastside Middle School on
November 15, 2014.
School ________________________________________________________
Sponsor/Coach Name____________________________Phone #___________
Participant
1. _____________________________
2. _____________________________
3. _____________________________
4. _____________________________
5. _____________________________
6. _____________________________
7. _____________________________
8. _____________________________
9. _____________________________
10._____________________________
11._____________________________
12._____________________________
13._____________________________
14._____________________________
15._____________________________
16._____________________________
17._____________________________
18._____________________________
19._____________________________
20._____________________________
21._____________________________
22._____________________________
23._____________________________
24._____________________________
Put additional names and parent signatures on the back.
Parent
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________