Vancouver
All Star Cheer
Recreational Cheer Registration Form
Youth and Junior
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: $45 per month includes 6 hours of Cheer
practice
per month and your
competition fees. $80 per month includes an additional tumbling class.
|
q $40
Membership & Insurance q $15
for T-Shirt q $20
for Shorts q Tuition
Fees (see below) **NEW**
Please add 6% GST Which session are you signing up for? _____________ Which
day? ________________
Session
#1 Mondays 5:00 to 6:30pm > Sept 25th – Dec 10th (12
weeks) Mondays 6:30
to 8:00pm > Sept 25th – Dec
10th (12 weeks) Session
#2 Mondays 5:00 to 6:30pm > Jan 8th – Feb 26th
(8 weeks) Mondays 6:30
to 8:00pm > Jan 8th
– Feb 26th (8 weeks) Session
#3 Mondays 5:00 to 6:30pm > Mar 5th – April 30th (8 weeks) Mondays 6:30
to 8:00pm > Mar 5th
– April 30th (8 weeks) Select
from 2 Age Categories: 11
and Younger YOUTH Mondays 5:00 to 6:30pm 16
and Younger JUNIOR Mondays
6:30 to 8:00pm 18 and Younger SENIOR
Opportunity to cheer is available |
|
For Office Use Only: Total Amount Due _______________________ *GST
(6%) ___________ |
|
Method of Payment
___________________ # cheques: ________ |
|
Cheque totals: _____,
_____, _____, _____, ______, ______, _______, ______, ______, _____ |