AMERICAN CHEER POWER/POWER DANCE
GOLD RUSH REGISTRATION
LAS VEGAS, NV MAY 15, 2010
MAY 15, 2010 AT SOUTH POINT HOTEL & CASINO SPA - 9777 LAS VEGAS BLVD SOUTH, LAS VEGAS, NV 89183

HOST HOTEL - SOUTH POINT - CALL 866-791-7626 -
WHEN BOOKING OVER THE PHONE USE GROUP#20080006367 CHEER POWER -
WHEN BOOKING ONLINE USE GROUP CODE - CHEER
CUT OFF FOR RESERVATIONS IS APRIL 22, 2010
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
*Checks will only be accepted 3 weeks prior to competition from Gyms, Schools, Booster Clubs or Sponsors made payable to American Cheer Power®
NO INDIVIDUAL CHECKS.
Note: A cashiers check, money order or credit card will be the ONLY FORMS OF PAYMENT ACCEPTED 2 Weeks Prior to the Competition
PLEASE DOWNLOAD CREDIT CARD AUTHORIZATION FORM FROM WEBSITE AND FAX TO: (281) 339 - 2976
Check One that applies to your Gym

*Number of Athletes in your gym -
EXCLUDES Show Teams & Dance Teams
PLEASE PRINT
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
Spectator Fee: $15          Children 6 & under FREE          Coaches are FREE

NO SPECTATOR PASSES WILL BE SOLD AT THE DOOR!!!!
NOTE: ALL SPECTATORS PASSES MUST BE PRE-PAID!!!!
TEAM #
Please
use this
number
on the
Roster 		Name of Team All Star
Dance Studio
Rec League
Public/Private School		 ALL-STAR CHEER ABILITY
LEVEL:
1, 2, 3, 4.2, 4, 5, 6
RECREATION ABILITY
LEVEL
1, 2, 3
SCHOOL ABILITYY LEVEL
Novice, Intermediate, Adanced,
Non-Building, Non-Tumbling,
Sideline, Fight Song,
Time Out Dance
DANCE CATEGORY
Jazz, Hip-Hop, Pom, Lyrical, Prop,
Variety, Open
NON-COMPETING
Show, Exhibition,
Special Athlete, Parent 		Age Division
(See Guidelines)		 Please list
how many
Crossovers
you have on
each team		 # of boys Total # on team
1 EX: Treasure Planet Youth Blue All Star Pom Youth 4 0 24
2 EX: Treasure Planet Jr Hip-Hop All Star Hip-Hop Junior 2 0 18
1
2
3
4
5
6
7
8
Total number of athletes participating in team events: #
Total number of coaches: #
LIST SCHEDULING CONFLICTS HERE:
EARLY BIRD-$55 per Participant -If Registered & paid 3 weeks prior to event # X $ per participant $
ON-TIME - $65 per Participant -If Registered & paid 2 weeks prior to event
LATE FEE - $70 per Participant - If Registered within 1 week of event
CROSSOVER # X $30 per participant each additional team $
SPECIAL ATHLETE TEAMS: # X $0 per participant $ 0.00
PARENT CHALLENGE TEAM
(Includes: Competition Fee, Spectator Pass, T-shirt & Team Trophy) 		# X $55 per parent on team
# of Coaches participating FREE 		$
Coaches Passes $
  $
PRE-PAID SPECTATOR PASS # X $15 Per Person
Children 6 & under Free 		$
FED EX FEE
$
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(s) (1 per Team) -$
TOTAL AMOUNT
$
FOR OFFICE USE ONLY      Tables: Data: Ros: Pay: Sch: Other