American Cheer Power/Power Dance®
NATION'S BEST CHEERLEADER VEGAS & GOLD RUSH INDIVIDUAL EVENT CHAMPIONSHIP
(IF YOU ARE BRINGING YOUR TEAM - USE GOLD RUSH REGISTRATION FORM)
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
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
★ ALL INDIVIDUALS MUST PUT THEIR AGE AS OF AUGUST 31, 2009 ★
Spectator Fee: $15          Children 6 & under FREE          Coaches are FREE
NOTE: ALL SPECTATORS PASSES MUST BE PRE-PAID!!!!
NO SPECTATOR PASSES WILL BE SOLD AT THE DOOR!!!!
Athlete's First & Last Name
(List Partner Stunt & Groups - one after the other placing a box around the group) 		Male/
Female		 AGE
(as of
8-31-09)		 Crowd Pleaser Crowd Pleaser Group Best Cheerleader Best Cheerleader Group Elite Best Cheerleader Elite Best Cheerleader Group Jump Only Cheer Only Tumble Pass Partner Stunt Group Stunt Best Dancer - Jazz Best Dancer - Hip-Hop Best Dancer - Lyrical Dance Group TOTAL
EVENTS		 Please list National Competition you received your TOP FIVE award SUB-TOTAL
AMOUNT
(Before 3rd
Family
Discount)		 TOTAL
AMOUNT
(After 3rd
Family
Discount)
DEDUCT - 3rd Family Member Discount will be given to the family member who is competing In the least total number of events (NOTE: Each member must be competing in Individuals & marked on registration form with an * to receive the $25 discount)
EX:Karen Jones* F 15   1       2           X       3   $255 $255
EX:Stephanie Smith F 14   1                           1   $85 $85
EX:Tim Jones* - 3rd Family Discount M 12           2           X       2   $170 $145
EX:Sara Jones* F 8 X       X                 X   3   $255 $255
CHEER POWER BID - PAY FEE BELOW:  
1st EVENT - $150 per participant per event # X $150 per participant per event $
2nd PLUS EVENT - $100 per participant per event # X $100 per participant per event $
OTHER COMPANY'S BID - PAY FEE BELOW:  
1st EVENT - $175 per participant per event # X $175 per participant per event $
2nd PLUS EVENT - $125 per participant per event # X $125 per participant per event $
GOLD RUSH INDIVIDUALS (NO BID)- PAY FEE:  
1st EVENT - $60 per participant per event # X $60 per participant per event $
2nd PLUS EVENT - $50 per participant per event # X $50 per participant per event $
PRE-PAID SPECTATOR PASS # X $15 Per Person Children 6 & under Free $ FED EX FEE
$
SUB-TOTAL $
**Add this total to team registration (if teams are competing)** TOTAL AMOUNT
$
FOR OFFICE USE ONLY      Tables: Data: Ros: Pay: Sch: Other