Twinklers 3 Month Session 2019

Thank you for joining our family! Before finalizing enrollment, please read a little about what makes our gym different than the rest. Our coaching philosophy is that every child will have a place in our gym. Our goal is to make everyone that comes through our doors feel welcome. We encourage all skill levels and will do our absolute best to place your child on a team that is reflective of their own skill level. However, there are many things we look at when placing kids on certain teams. A few of those things are size of team, ages of the team, skill level and travel schedules.

We are an anti-bully gym.

We are also a gym that requires our coaches to have back ground checks.

We also allow our little athletes to explore and feel comfortable before requiring them to participate right away. Realizing it may take them a couple of practices, we are patient and do allow them to observe first and participate second.

If this sounds like the gym for you and your family, we would LOVE to meet you! Your child(ren) are welcome to try out any team before signing up. Please call Traci to set up a tour of the gym at your convenience or enroll below. The number is: 605-77-8803.

COME ALONG, MEET NEW FRIENDS!

TWINKLERS

3 MONTH SESSION

MITCHELL LOCATION

1015 COMMERCE STREET

MITCHELL, SD 57301

TUESDAYS

JANUARY 7 - MARCH 31

6:30 PM - 7:30 PM (AGES 5 - 12)

SESSION INCLUDES

CHEER ROUTINE (Dance, Stunting, Tumbling )

PERFORMANCE TSHIRT

PERFORMANCE IN BROOKINGS/RUMBLE IN THE JUNGLE

Program you are registering for: *

TWINKLERS (AGES 5-12)

Athletes Name *

First Name Last Name

Age (as of August 31st, 2019) *

Birthdate *

Parent/Guardian's Name *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Student Cell Phone

Student Email

Parent Phone Number *

Parent Email *

Contact in Case of Emergency:

1st Person

Phone Number

Area Code Phone Number

Acknowledgment of Risk

I/We full understand that cheerelading and dance invloves motion and height, and that any physcial activity, including cheerleading and/or dance, that involves motion and/or height can result in serious permanent injury, disabitlity or death.

Permission to Participate

With knowledge of the risk of possible injury, disabiltiy or death from participation in cheerleading and dance, I/We the parent(s)/legal guardian(s) or the person of ______________________, (the student), do hereby grant permission for the sutdent to participate in cheerleading and/or dance at Xtreme Cheerleading, LLC.

Assumption of Risk and Release from Liability

I/We hereby assume all risks for the student's personal injury, including disabiltity and/or death, sustained by the student while participating in cheerleading or dance at Xtreme Cheerleading, LLC or while on it's premises. I/We realease Xtreme Cheerleding, LLC, its directors, instructors, employees, of and from any and all liability any of them may have for any injury, including disability and/or death, sustained by the student without limit and without regard to the cause or causes thereof or the negligence of any party or parties.

Consent to Medical Care

I/We do hereby authorize any adult director, instructor, or employee of Xtreme Cheerleading, LLC who has care and control of the student to consent to any medical treatment of the student when I/we cannot be contacted, in the judgemtn of any prospective treating doctor, is immediately and medically necessary to treat and injury sustained by the student.

Indemnity and Hold Harmless

I/We do hereby agree to indemnify Xtreme Cheerleading, LLC, it directors, instructors and employees and hold them harmless from any claims, demands, and causes of action made against them or expenses they may incur in connection with any injury, including disability and/or death, sustained by the student or in connection with any medical care received by the student.

Parent/Guardian *

First Name Last Name

By typing my name above, I am agreeing to all statements on this registration form.

All monies paid are non-refundable.

REGISTRATION FEES *

TWINKLERS (JAN-MAR) $ 120.00

Quantity