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: $55 per month includes 8 hours
of Sunday Cheer practices per month and your competition fees. $85 per month includes Mon or Wed night
tumbling lessons from 7 pm to 8pm or 8pm to 9pm (Wednesdays only @ Omega). Athletes that sign up for tumbling are also
entitled to an hour of free drop-in.
|
q
$50
Membership & Insurance q
$80
for Shoes q
$15
for T-Shirt q
$20
for Shorts q
$140
for Purchase of Uniform q
$15
for Bloomers q
$55
Adult Sweater (optional) q
$50
Youth Sweater (optional) |
Circle
amount applicable: ü
September
Tuition $55 $85
ü
October
Tuition $55 $85
ü
November
Tuition $55 $85
ü
December
Tuition $55 $85
ü
January
Tuition $55 $85
ü
February
Tuition $55 $85
**NEW** Please add 7% GST $3.85
or $5.95 per month ** Make cheques payable to the 15th
of each month |
|
** Tuition for the Competition season is $330 +
GST. You have the option of paying it in one installment, or the monthly
installments outlined above. |
|
Total
Amount Due
_______________________ *GST _____________
Paid _____________________________
Method
of Payment ___________________ # cheques: ________
Cheque
totals: ______, ______, ______, ______, ______, ______, _______
Vancouver All Star Cheer Waiver & Polocies Form
Dear Parent/Guardian:
In regards to my child(ren) participating in the Vancouver All Stars cheerleading program(s), I waive any and all claims I may have against and release all liability and agree not to sue Vancouver All Stars, Elizabeth Gigante Ulrich, Vancouver All Stars employees, agents or volunteers for any personal injury, death, property damage or loss sustained as a result of my child's participation in the program, arising out of any cause whatsoever.
I am aware of the usual risks and dangers inherent in participation in all of the activities associated with the Vancouver All Stars Cheer Program and the possibility of injury, death, property damage or loss resulting from the activities.
It is my responsibility to ensure that my child is wearing suitable clothing during participation in all activities associated with the program: team t-shirts, shorts and cheer shoes for practices and uniform and other items deemed necessary by the coaches. This includes braces and/or athletic equipment that an athlete may be required to wear in order to participate.
My child and I have read and understand the Vancouver All Star policies that apply at all times and are in place as safety protection measures. I understand that I must report any and all injuries to my Coach(es) no matter how insignificant they may appear and/or whether or not they were a result of participation with VAS.
Accidents can be a result of the nature
of the activity and can occur with or without any fault on either part of
the athlete or Vancouver All Stars, its employees, agents or the facility
where the activity is taking place. By allowing your daughter/son to participate,
you are accepting the risk of an accident occurring and agree that the activities
carried out in the course of a cheerleading club are suitable for your child.
In signing this Consent and Waiver, I am not relying on any oral or written
representation or statements made by Vancouver All Stars, its servants, agents,
employees or authorized volunteers to induce me to permit my child to take
part, other than set out in the Consent and Waiver.
I am 19 years of age or older and have read and understood the terms of this Consent and Waiver and understand that it is binding upon me, my heirs, executors and administrators.
Policies and Procedures Contract:
Refunds & Membership Cancellation: There are NO REFUNDS on Omega membership / Insurance fees. Any request for consideration of a credit for remaining classes in session must be submitted in writing to the Program Coordinator (e-mail at lizgu2@telus.net is accepted). All credit considerations will be reviewed from the date the request is received and the decision will be at the sole discretion of the program coordinator. All successful credit applicants will be subject to a $20.00 administration charge and are NON-transferable.
Gym Rules & Participant Regulations:
1. Athletes must come prepared for class and arrive on time.
2. Athletes are asked to wait for their class to commence before entering
the training area.
3. No use of equipment is permitted unless under the supervision of their
coach.
4. No food, or beverages are to be consumed on the gym floor or training area
and this includes chewing gum, candy and water. These are all restricted to
the cubbyholes.
5. No shoes can be worn on trampolines or the fast track and no cheerleader
is permitted on bars, vaults or beams.
6. No parent or sibling is allowed on the gym floor or training area; a viewing
area is provided in the bleachers.
7. Attendance is mandatory since success of the entire team is dependant on
each participant. An athlete that is perceived by the coaching staff as unable
to make a full commitment will be removed from the program. In such a circumstance,
remaining tuition fees will be returned but the athlete will absorb all other
costs.
8. Refunds will not be given for missed classes/practices.
9. A $20 surcharge will be assigned to any cheque that is returned NSF. Repeat
offenders will be required to pay with cash or using our online payment option,
only.
10. All injuries must be reported to your Coach immediately no matter how
insignificant the injury seems and/or whether or not it is cheer-related.
11. Cheerleaders must wear appropriate clothing to the gym and hair must be
tied back and away from the eyes. Once athletes receive team shorts and t-shirts,
they will be worn at all practices to ensure uniformity.
12. Absolutely NO jewelry may be worn to practices. Keep it all at home.
Signature
________________________ Date ___________________