AMERICAN CHEER POWER/POWER DANCE
HOLIDAY, OPEN and STATE INDIVIDUAL EVENT REGISTRATION
PLEASE CHECK ONE:
10/9/10 Galveston,TX-Schlitterbahn Evaluation Competition
10/24/10 San Antonio,TX- Halloween Holiday
10/30/10 Columbus, OH- Halloween Holiday
10/30/10 Garland, TX- Halloween Holiday
11/7/10 Bossier City, LA- Patriotic Holiday
11/7/10 DeKalb,IL- Patriotic Open
11/13/10 Leander, TX- Patriotic Holiday
11/13/10 Wichita, KS - Patriotic Holiday
11/20/10 Oklahoma City, OK - Patriotic State
11/21/10 Corpus Christi, TX- Patriotic Open
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 Cheer Indv.
1/23/11 Houston, TX- Wild West State Dance Indv.
1/29/11 Broken Arrow, OK - Fabulous "50's" Holiday
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 Galveston, TX - Fabulous "50's" Holiday
3/6/11 Cincinnati,OH-Fabulous "50's" Open
3/20/11 Trenton, NJ-Fabulous "50's" Open
4/16/11 Galveston, TX- Hit The Beach Holiday
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
★ ALL INDIVIDUALS MUST PUT THEIR AGE AS OF AUGUST 31, 2010 ★
Athlete's First & Last Name
(Number All Group Events)
TOTAL
AMOUNT
1st INDIVIDUAL EVENT - $60 per participant per event
#
X $60 per participant per event
$
2nd PLUS EVENTS (INCLUDES PARTICIPATION ON TEAM)- $50 per participant per event
#
X $50 per participant per event
$
LATE FEE - 1st EVENT - $75 per participant
#
X $75 per participant per event
$
LATE FEE - 2nd PLUS EVENTS - $65 per participant
#
X $65 per participant per event
$
**Add this total to team registration (if 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 cashiers 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, 4 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