Varsity Family Plan:
Select One:
Yes
No
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Select the competition you are attending:
Southern All-Star Nationals
Northeast Nationals
West Coast Nationals
School Nationals (Galveston) |
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One that applies to your Gym:
(does not apply to West Coast Nationals)
100 or Less Athletes*
101+ Athletes*
* Number of Athletes at your gym- EXCLUDES Show Teams &
Dance Teams 101+ Athletes*
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Competition Location & Date:
School/Gym Name Coach's Name
School/Gym Address City State Zip
School/Gym Mailing Address City State Zip
School/Gym # Fax # Coach's Home #
Day Contact # Email
Team Colors:
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★ATTENTION COACHES - READ CAREFULLY!★
1. ALL REGISTRATION FORMS & FEES ARE DUE 3 WEEKS PRIOR TO THE NATIONAL COMPETITION.
2. PAYMENT AMOUNT WILL BE $125.00 PER PARTICIPANT PER TEAM EVENT IF RECEIVED WEEK OF COMPETITION!
(Cash, money order, cashier's check or credit card ONLY!)
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| NO ADDS OR CHANGES WILL BE ACCEPTED THE WEEK OF THE COMPETITION! |
| TEAM # |
Name of Squad (Mark 3rd family members on rosters to receive discount) |
Please use the
corresponding
numbers (1, 2, 3, 4,
etc.) to indicate
which teams have
crossovers |
All Star
Rec League
Public/Private
School |
ABILITY LEVEL:
Levels 1, 2, 3, 4, 5, 6
Non-Mount - Levels 3 & 5 (School)
Non-Tumbling - Level 5
Show
Exhibition
Special Athlete |
Age as of May
31st (Highest &
lowest grades for
Schools/Rec) |
# of boys |
Age Division
See Guidelines |
Total # on team |
| 1 |
EX: Treasure Planet Youth. Blue |
|
All Star |
Level 2 |
11 yrs & younger |
0 |
Large Youth |
24 |
| 2 |
EX: Treasure Planet Jr. Silver |
1 |
All Star |
Level 3 |
14 yrs & younger |
0 |
Junior |
18 |
| 3 |
EX: Howard Middle School Jr. Silver |
1 |
School |
Non-Mount - Level 5 |
9th & Under |
0 |
Junior |
18 |
| 1 |
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| 2 |
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| 3 |
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| 4 |
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| 5 |
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| LIST SCHEDULING CONFLICTS HERE FOR EMERGENCY SITUATIONS: |
| Total number of athletes participating in team event |
# |
| IF PAYMENT IS RECEIVED 3 WEEKS PRIOR TO COMPETITION PAY BELOW: |
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$ |
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$ |
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$0.00 |
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$ |
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$ |
# Parent Pit Pass (2 per team) NOTE: PARENTS MUST ALSO HAVE PURCHASED THEIR SPECTATOR'S BAND PRIOR
TO BEING ALLOWED TO ACCESS THE PARENT PIT AREAS! # Free Coaches' Passes & Gift |
#P |
#C |
| # x $50 Open/College Cheer per participant per team |
$ |
PRE-PAID SPECTATOR WEEKEND PASS # X $30, IF RECEIVED 3 WEEKS PRIOR TO THE COMPETITION |
|
$ |
FED EX FEE $ |
| IF PAYMENT IS RECEIVED THE WEEK OF COMPETITION PAY BELOW: |
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# X $125 per participant per team
(CASH, MONEY ORDER, CASHIER'S CHECK OR CREDIT CARD ONLY) |
$ |
# X $95 Crossover Fee per participant for each additional team event
(CASH, MONEY ORDER, CASHIER'S CHECK OR CREDIT CARD ONLY) |
$ |
| INDIVIDUAL TOTAL: FROM NATIONAL INDIVIDUAL REGISTRATION FORM |
$ |
| SUB-TOTAL |
$ |
| DEDUCT -3rd Family Member Discount (Note: Each member must be marked on roster(s) to receive the $25 discount) # X $25 |
-$ |
| # Sponsored Athlete (1 per Team) |
-$ |
| TOTAL AMOUNT |
$ |
Paying by (Select):
Credit Card:
Grand Total amount to charge (plus $5 processing fee) $
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FOR OFFICE USE ONLY Tables: Data: Ros: Pay: Sch: Other
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