Vancouver All Stars

ELITE Cheer Registration Form

Youth, Junior, Senior & Senior Co-ed Teams

Athlete’s Name ______________________________________________

Athlete’s E-mail Address _______________________________________

Mailing Address ______________________________________________

City __________________ Postal Code __________________________

Birthday ______________ Age on May 31^st, 2006 __________________

Contact E-mail Address ______________________________________

Parent’s Name(s) ________________________ , ____________________

Telephone number(s) _____________________ , ____________________

Emergency Contact ______________________ phone # _______________

Doctor’s Name __________________________ phone # ______________

Allergies or Medication _________________________________________

Health concerns/limitations ______________________________________

Care Card # _________________________________________________

Check Off all completed Registration items:

ü Youth and Junior Elite Teams - $85 per month

ü All Senior Teams - $90 per month

ü $30+GST extra for additional tumbling class

q $70 Membership & Insurance

q $80 for Shoes

q $15 for T-Shirt

q $20 for Shorts

q $150-$180 for Purchase of Uniform or $50 for rental

q $15 for Bloomers

q Post dated cheques from Sept 1^st – June 1^st

**NEW** Please add 6% GST and make cheques payable for the 1st of each month

** Tuition for entire year is $850 + GST / $900 +GST. You have the option of paying it in one installment, or in monthly installments as long as ALL cheques are provided at the onset. We do not accept pay-as-you-go without pre-authorized credit card set up.

For Office Use Only:

Total Amount Due _______________________ *GST (6%) ___________

Method of Payment ___________________ # cheques: ________

Cheque totals: _____, _____, _____, _____, ______, ______, _______, ______, ______, _____