AMERICAN CHEER POWER/POWER DANCE®
OPEN/STATE DANCE TEAM REGISTRATION
Please
Check
One
11/7/10 DeKalb,IL- Patriotic Open
11/20/10 Oklahoma City,OK- Oklahoma State
12/4/10 Columbus,OH- Christmas Open
12/11/10 Houston,TX- Christmas Open
12/12/10 San Antonio, TX - Christmas Open
1/8/11 McAllen, TX - Fabulous "50's" Open
1/8/11 Upper Marlboro, MD - Fabulous "50's" Open
1/22/11 Houston, TX - Wild West State-Schools Only
1/23/11 Houston, TX - Wild West State-Dance Teams Only
1/29/11 Garland, TX - Fabulous "50's" Open
2/19/11 Huntington,WV-Fabulous "50's" Open
2/27/11 Lakeland, FL-Fabulous "50's" Open
3/6/11 Cincinnati, OH - Fabulous "50's" Open
3/12/11 Galveston,TX - Texas State Open
3/20/11 Trenton, NJ - Fabulous "50's" Open
Gym/School Name
Coach's Name
Gym/School Address
City
State
Zip
Gym/School Mailing Address
City
State
Zip
Coach's Email
Coach's Day (cell) #
Gym/School #
Fax #
PLEASE PROVIDE CONTACT INFORMATION FOR THIS COMPETITION BELOW (IF DIFFERENT FROM ABOVE):
Contact Name
Contact Day (cell) #
Contact Email
NAME OF TEAM
ALL STAR
DANCE STUDIO
REC
SCHOOL
DANCE CATEGORY
(SEE GUIDELINES)
LEVELS
SPARKLE (Novice)
ILLUMINATE
(USASF)
AGE DIVISION
(See Guidelines)
# OF BOYS
CROSSOVERS
Y / N
TOTAL #
ON TEAM
1
EX:
Treasure Planet Youth Pom
All Star
Pom
Sparkle
Youth
4
Y
24
1
EX:
Treasure Planet Jr Hip-Hop
All Star
Hip-Hop
Illuminate
Junior
2
N
18
1
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
2
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
3
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
4
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
5
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
6
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
7
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
8
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Total number of athletes participating in team events:
#
NUMBER OF COACHES (TWO PER TEAM)
#
SPECIAL TEAM REQUEST:
EARLY BIRD-$69 per Participant -If Registered & paid 3 weeks prior to event
#
X $
PER PARTICIPANT (1ST TEAM PERFORMANCE)
$
ON-TIME - $79 per Participant -If Registered & paid 2 weeks prior to event
LATE FEE - $89 per Participant - If Registered or Paid within 1 week of event
CROSSOVER
#
X $40 PER CROSSOVER PARTICIPANT (EACH ADDITIONAL TEAM)
$
SPECIAL ATHLETE TEAM
#
X $0 PER SPECIAL ATHLETE
$0.00
PARENT CHALLENGE TEAM
(Includes: Competition Fee, T-shirt & Team Trophy)
#
X $55 PER PARENT ON TEAM
#
X $0 PER COACH ON PARENT TEAM
$
Total number of athletes participating in team events:
#
INDIVIDUAL EVENTS TOTAL:
FROM INDIVIDUAL EVENTS REGISTRATION FORM
$
DISCOUNTS
Sponsored Athlete(s) (1 per Team)
#
X $
PER SPONSORED ATHLETE
-$
3rd Family Member Discount
(Discount will only apply to the 3rd + sibling(s)
#
X $25 PER 3RD FAMILY MEMBER
-$
**Add this total to cheer team registration (if cheer teams are competing)**
TOTAL AMOUNT
$
PLEASE DOWNLOAD CREDIT CARD AUTHORIZATION FORM FROM WEBSITE AND FAX TO: (281) 339 - 2976
*Checks will only be accepted 3 weeks prior to competition from Gyms, Schools, Booster Clubs or Sponsors made payable to American Cheer Power®
NO PERSONAL CHECKS.
Note: A cashier's check, money order or credit card
WILL BE THE ONLY FORMS OF PAYMENT ACCEPTED
2 WEEKS PRIOR TO THE COMPETITION!
Fax Registration, Roster & Code of Conduct to: (281) 339-2976, 3 weeks prior to the competition.
MAIL COMPLIANCE FORMS - DO NOT FAX!
Mail or Overnight to
: American Cheer Power 201 Spruce Dickinson, TX 77539
FOR OFFICE USE ONLY Tables:
Data:
Ros:
Pay:
Sch:
Other