POWER DANCE
NATIONAL DANCE TEAM(S) REGISTRATION
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
CHECK
ONE



SPECTATOR FEE -- WEEKEND PASS-$30     DAY PASS-$20     10 & YOUNGER - FREE     60+ - FREE
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
NO ADDS OR CHANGES WILL BE ACCEPTED THE WEEK OF THE COMPETITION!
TEAM #
Please
use this
number
on the
Roster 		Name of Team All Star
Dance Studio
Rec League
Public/Private  School		 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 Level 2 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-$119 per Participant UP to TWO Routines (same Team) -
If Registered & paid 3 weeks prior to event 		# X $ per participant $
ON-TIME - $129 per Participant UP to TWO Routines (same Team) -
If Registered & paid 2 weeks prior to event
LATE FEE - $134 per Participant Up to TWO Routines (same Team) -
If Registered within 1 weeks of event
$35 per Participant for 3rd or more Routines (same Team) # X $35 per participant $
CROSSOVER # X $50 per participant each additional team $
SPECIAL ATHLETE TEAMS: # X $0 per participant $ 0.00
SHOW TEAM # X $79 per participant $
PARENT CHALLENGE TEAM (Includes: Competition Fee, Spectator Pass, T-shirt & Team Trophy) # X $55 per parent on team
# of Coaches participating FREE 		$
Coaches Passes #
INDIVIDUAL EVENTS TOTAL: FROM INDIVIDUAL EVENTS REGISTRATION FORM (West Coast and Northeast Only) $
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) AT HALF PRICE OF THE FEE, i.e. Early Bird $59.50; OnTime $64.50; Late Fee $67 # X $ per participant $
TOTAL AMOUNT
$
FOR OFFICE USE ONLY      Tables: Data: Ros: Pay: Sch: Other