AMERICAN CHEER POWER/POWER DANCE
HOLIDAY, OPEN and STATE INDIVIDUAL EVENT 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
10/3/09 Galveston,TX- Back-To-School
10/17/09 Ft. Worth,TX- Spook Night
10/18/09 San Marcos,TX- Spook Night
10/24/09 Columbus,OH- Spook Night
10/25/09 Bossier City,LA- Spook Night
11/1/09 Corpus Christi,TX - Patriotic
11/7/09 Ft. Worth,TX- Patriotic
11/8/09 DeKalb,IL- Patriotic
11/14/09 Wichita,KS- Patriotic
11/14/09 Belton,TX- Patriotic
11/15/09 Kansas City,MO- Patriotic Holiday Championship
11/21/09 Oklahoma City,OK- Patriotic
12/5/09 Columbus,OH- Christmas
12/6/09 Phoenix, AZ- Christmas
12/12/09 Houston,TX- Christmas
12/13/09 San Antonio,TX- Christmas
1/10/10 Garland,TX - Fabulous "50's"
1/10/10 Upper Marlboro,MD-Fabulous "50's"
1/23/10 Houston,TX-Dance Individual Event
Championship to qualify for Vegas Nations Best
1/23/10 Galveston,TX-Battle of Rec & Schools
2/21/10 Lakeland,FL - Fabulous "50's"
2/21/10 Corpus Christi,TX- South Texas Open
2/28/10 Huntington,WV-Fabulous "50's"
3/6/10 Broken Arrow,OK- Oklahoma State
3/7/10 Houston,TX- St. Patty's Day
3/13/10 Galveston,TX- Texas State Open
3/14/10 Cincinnati,OH- St. Patty's Day
4/10/10 Baton Rouge,LA- Purple & Gold
4/24/10 Galveston,TX- Hit the Beach
4/25/10 San Antonio,TX- Sea World - Spring Fever Holiday
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 ★
★★ATTENTION - PLEASE READ CAREFULLY!★★
Those competing with their team should add the individual total to the team registration form.
Athlete's First & Last Name
(List Partner Stunt & Groups - one after the other placing a box around the group)
Please list the team
name that you are
competiting with at
this competition to
GET DISCOUNT
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
X
X
3
$160
$160
EX:
Stephanie Smith
F
14
1
1
$110
$110
EX:
Tim Jones* - 3rd Family Discount
M
12
X
X
2
$210
$185
EX:
Sara Jones*
EX: Treasure Planet Youth Blue
F
8
X
X
X
3
$150
$150
M
F
0
1
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M
F
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M
F
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M
F
0
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0
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1st 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
$
SUB-TOTAL
$
**Add this total to team registration (if teams are competing)**
TOTAL AMOUNT
$
FOR OFFICE USE ONLY Tables:
Data:
Ros:
Pay:
Sch:
Other