2014-2015 All Star Information Be a part of the

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2014-2015 All Star Information Be a part of the
2014-2015 All Star Information
Established in
1995,
Cheergyms.com
created the first
gym on the
West Coast
entirely for the
purpose of
training
competitive
cheerleaders.
Be a part of the Famous Cheergyms.com Family
This document is to give you a general understanding about Cheergyms.com’s All-star program. We highly encourage
you to attend an informational meeting to meet the owners first hand and ask any and all questions you may have.
Inserts included with this packet will outline the details of this season’s All-star program:
• Tryout Information Dates & Times
• List of Projected Teams & Practice Times
• Required Tryout Forms
• Program Fees & Expenses
• Calendar of Events
Cheergyms.com is the most successful athletic program of its type in Northern California, serving the top cheer athletes
in its area. From our first practice in 1996 to its current status as one of the top 25 All-Star programs in the country,
Cheergyms.com has always strived to be “the best.” Through competitions, performances, and practices, our staff works
to develop the whole athlete - physically, mentally, and emotionally. Entering our 19th season, Cheergyms.com and its
athletes have had many, national, grand, or program championships and more major titles than any other program in
Northern California. Our program has been featured on numerous national networks and in several national magazines.
While the most obvious way that we help the youth in our program is by bettering their skills and helping them reach
their athletic potential, we believe our program serves a higher purpose. Our program’s primary goal is to teach growing
athletes how to work together as a team. Throughout a person’s life, they will be put in situations where they must work
together with others to achieve common goals. Whether in their professional or social life, teamwork is a lifetime lesson
much more valuable than tumbling skills. While the hours, weeks, months, even years of work that go into improving
stunts, tumbling, jumps, and motions will improve your fitness, skills, and your chances of cheering in college, more
important are the lessons you will learn about sportsmanship, working together towards goals, and striving to win.
While we have collected more than enough trophies, banners, medals, and jackets to fill our gyms, we are most proud of
the life lessons that we have been able to give to the athletes in our program.
CHEERGYMS.COM
Many former Cheergyms.com
all-star cheerleaders have gone
on to receive cheer scholarships
at such prestigious colleges as
Vanderbilt, USC, San Diego
State, UCLA, and University of
Hawaii just to name a few. In
2014, Cheergyms.com all-stars
receiving $14,400 in
scholarships.
What is All-Star Cheerleading?
The sport of All-Star Cheerleading has grown immensely from its roots nearly 30 years ago. In the 80s and early 90s,
teams were typically formed of athletes who were interested in improving their skills so that they would stand a better
chance of making their high school or college cheerleading teams. As the sport developed and grew, more and more
athletes and their parents viewed All-Star Cheerleading as a viable activity in and of itself. As stronger athletes began to
recognize that All-Star provided them a way to focus more on teamwork and athletics, and less on pom pons and
decorating lockers, the sport began to separate itself from the traditional stereotypes. This is no longer your mother’s
Cheerleading. Teams and athletes in All-Star Cheerleading now focus on gymnastic and acrobatic moves. The hybrid
sport of today is a combination of gymnastics, acrobatics, athletic dance, and many elements unique to All-Star. More XGames than San Francisco 49ers Cheerleader, more extreme athlete than fashion model, today’s All-Star athlete can
learn exciting skills in a fun, safe environment.
All-Star teams are typically comprised of 15-36 athletes with a variety of skills and abilities (much like a football or
basketball team.) There can be solid, well-rounded athletes and those who have particularly strong abilities in certain
areas (ex. – strong dancers or jumpers). The coaches create a competition routine performed by the group that has
elements of tumbling, stunting, jumping, dance, and other skills set to music. The routines are typically 2 1/2 minutes in
length. At competitions, the teams are divided by age and ability level. The routines are judged by their level of difficulty,
precision, creativity, and entertainment value. There are thousands of all-star programs of all types across the country.
While not every program is a perfect fit for every athlete, we believe that we have a solid program that is the right
choice for everyone from the brand-new beginning athlete to the ultra-elite veteran. Regardless of the gym you choose,
All-Star cheerleading is a great way for young athletes to learn new skills while building teamwork, goal-setting,
sportsmanship, and numerous other social skills while making lifelong friendships.
The chart below lists the tumbling skills for teams based on levels sanctioned by the USASF (The United States All Star
Federation) – all-star cheerleading’s governing body. It is our goal for each team to start off the season with the
necessary set of well-executed skills to make them strong contenders in their division.
Level 1:
Level 2:
Level 3:
Level 4:
Level 5:
Tumbling: Cartwheel; Round Off Rebound; Back Bend Kick Over
Standing Back Handspring; Round Off Series of Back Handsprings
Round Off Back Handspring Back Tuck; Series Back Handsprings; Jumps to Standing Back Handsprings
Round Off Back Handspring Layout; Standing Back Tuck; Standing Back Handsprings to Layout
Running Pass with a Full; Jumps to a Back Tuck
CHEERGYMS.COM
Tryouts
Team age is determined by their age as of August 31, 2014. The tryout
process will be in small groups of 10 for 45 minutes. It will be a no
stress mini practice for the athletes to allow the staff to have one-onone time with every potential athlete. Time slots are available on our
website for registration. After the final date of tryouts, the staff will
work together to come up with teams that each have the best
possible chance of a successful competitive season. After our
meetings are completed, we will contact each athlete (or parent) to
let them know the results of tryouts. Every athlete will make a team.
Tryouts are $30 if you register online or $40 at the door if time slots
are available, private tryouts are $50.
The owners of
Cheergyms.com
have worked in
the cheerleading
industry for a
combined 75
years.
Program Costs
Competitive cheerleading, while not as costly as some youth activities, can still be an
expensive sport. Entry fees for competitions alone are hundreds of dollars a year per
athlete. Before you consider this or any program, please carefully consider the financial
commitment involved. Cheergyms.com, widely recognized as one the top competitive
cheerleading programs in the country over the last 18 years, has the finest staff and the
most state-of-the-art facility in our sport. As a result, our fees are higher than some
programs. However, the difference in costs between our program and others is not as large
as you may expect. Others may advertise a lower “tuition” rate only to have you pay
significant extra amounts throughout the year to the gym or booster club. At
Cheergyms.com, we are up-front with our costs. See the insert for the breakdown of costs.
World Class Staff
Our coaches have a wide variety of backgrounds. Many have
extensive gymnastics backgrounds to help with the teaching
and spotting of tumbling skills. Many have experience in a
variety of team sports and can bring unique perspectives to the
learning experience. Several are highly experienced
choreographers that are in year-round demand from programs
around the world for their creative routines.
The leadership team at the gym has been invited to numerous
conferences and conventions to speak on a wide variety of
topics. They also hold multiple leadership positions in important
committees that determine the rules, guidelines, and direction
of our sport. The bottom line is this: Cheergyms.com has the
most experienced, creative, and talented staff of any gym in the country.
Since the beginning of the USASF Worlds in 2004, Cheergyms.com has received bids to
the prestigious event every year we’ve attended (8 of the 10) and placed in the Top 10
three times.
Some Cheergyms.com FACTS
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Established in 1995, Cheergyms.com created the first gym on the West Coast entirely for the purpose of training
competitive cheerleaders.
A USASF (The United States All-Star Federation) certified gym.
Every coach is USASF certified, CPR certified and First Aid certified, plus attends many local and statewide
conferences for the betterment of their training.
Danny Kahn, Morton Bergue and Derick Patterson, the Cheergyms.com owners, have worked in the cheerleading
industry for a combined 75 years.
Morton Bergue has been named by American Cheerleader Magazine as one of the Most Influential people in the
cheerleading industry ever since the list has been created.
Cheergyms.com has been in the Top 25 programs in the country by American Cheerleader Magazine 5 times and has
won over 100 National Titles.
Cheergyms.com has been a leader in their communities toward charities and community issues for many years.
Some of its favorite contributions are Pennies for Jenn a charity group for a former cheerleader who is quadriplegic;
The Leukemia Society walk; GreenCheer an organization started by Cheergyms.com to start recycling everything
from TV’s to water bottles and its current charity the Special Olympics.
Morton Bergue has been inducted into almost every Hall of Fame in the cheerleading industry including SITA (Spirit
Industry Trade Association), GSSA (Golden State Spirit Association), and OCCA (Oregon State Spirit Association).
Internationally Cheergyms.com is well known and continuously is asked to choreograph, speak at conferences and
hold clinics in countries like England, Wales, France, New Zealand, Scotland, Germany, Canada and many others.
Morton Bergue has choreographed for such events as Jeep/Eagle Aloha Bowl Halftime, Cotton Bowl Halftime,
Macy’s Thanksgiving Parade Opening (1999, 2000 & 2008-2014), Germany’s National Basketball Championships
Halftime, St. Patrick’s Day Parade Opening in Dublin Ireland and numerous local, state and national events.
Cheergyms.com has been featured numerous times in Cheer Biz News, a cheer industry trade magazine and Morton
Bergue currently writes a cheer column for the USASF All-Star Magazine. Inside Cheerleader Magazine and Morton
Bergue have written many articles for the USASF All-star Magazine.
Cheergyms.com is one of the founding members of the NCAA (Northern California All-Star Alliance) and is currently
on the Executive Board.
The list of schools and all-star programs Cheergyms.com choreographs for is HUGE. Here are some of it most
prestigious; College Park HS, Hanford HS, Los Alamitos HS, Clayton Valley HS, Rosewell HS (NM), Freedom High
School, Choctaw High School (FL), Liberty HS, Oak Forest HS (IL), Bishop Dwenger High School (IN), Carondelet High
School, Baldwin High School (HI), Arizona Heat All-Stars (AZ), Cheergyms.com All-American Team, Nitros All Stars
(DE), World Cup All-Stars(NJ), NRG All Stars (Britain), Surrey Starlettes (Britain), Gold Star (Scotland), RSD (Wales)
New Zealand All-Stars and over 30 routines each summer for various high school, dance and all star programs
nationally and internationally.
Danny Kahn was the first choreographer for the first all-star team in the western hemisphere in 1985 called the
Clayton Valley All-Stars. That team and his next team the Diablo Valley Hawks went onto to win three NCA National
Titles which at the time was the only all-star competition in the world.
Many former Cheergyms.com cheerleaders have gone onto perform for many professional cheer squads like the San
Francisco 49er Gold Rush, The Sacramento Kings Dance Line, The Oakland Raiders Raiderettes, The San Diego
Charger Girls and the San Jose Saber Cats Saber Kittens as well as the “Bring It ON” series of cheerleading movies.
Cheergyms.com has received numerous Choreography Awards for its outstanding creativity at many cheerleading
nationals such as NCA (National Cheerleaders Association), JAMFEST, American Championships and others.
Morton Bergue represents Cheergyms.com on The United States All Star Federations (USASF) Board of Executives
and is the Chairman of the National All-Star Cheerleading Coaches congress (NACCC). Both of which he was a
founding partner and leader.
Derick Patterson has been on the National Advisory Board for the USASF from 2011 – present. This position allows
him to hear and help make changes in the all-star community.
Tryout Information for Full Year Teams
Team
Informational
Meetings
Tryout Dates
Tryout Cost
Concord Teams
Tuesday, April 22, 2014
6:30 - 7:30 pm
Concord Cheer Gym
Concord, CA
Saturday, May 3, 2014
Register Online:
http://tinyurl.com/cgtryouts
Online: $30
At the door: $40
Tuesday, April 1, 2014
Saturday, April 12, 2014
Online: $30
6:30 - 7:30 pm
Register Online:
At the door: $40
Velocity Cheer Gym
http://tinyurl.com/cgtryouts
Antioch, CA
Sign up online to get your spot for tryouts. www.cheergyms.com.
Bring: Copy of Birth Certificate, Cheergyms.com Application, Cheergyms.com Medical Information
Form and Cheergyms.com Liability Release Form (available at www.cheergyms.com).
Wear: Fitted top/bra top, Shorts/biker shorts, Cheer shoes, Hair in ponytail, NO jewelry, NO long nails.
Each tryout will consist of 12 athletes in a 45 minute session. Each athlete will be evaluated on
tumbling, jumping and performing skills. Each athlete will also be interviewed. Those athletes who want
to be considered for a flying position will need to sign up for an additional "Flyers Tryout" session (no
additional charge).
Antioch team placements will be posted online at www.cheergyms.com on Sunday, April 13, 2014 by
11:30 pm. Practices/Mandatory Tumbling Classes start the week of May 5, 2014.
Concord team placements will be posted online at www.cheergyms.com on Sunday, May 4, 2014 by
11:30 pm. Practices/Mandatory Tumbling Classes start the week of May 5, 2014.
All Flyers must attend 2 sessions. First a regular Try-Out session and then the “Flyer Try-Outs” session.
Antioch Team
1.
2.
3.
4.
5.
6.
7.
Tryout Information for International Open Coed Level 5 Team
Team
Informational
Meetings
Tryout Dates
Tryout Cost
Concord Teams
Sunday, May 4, 2014
10:00 am - 11:00 am
Concord Cheer Gym
Concord, CA
Sunday, May 4, 2014
11:30 am - 1:30 pm
Register Online:
http://tinyurl.com/cgtryouts
Online: $20
At the door: $20
1. Sign up online to get your spot for tryouts. www.cheergyms.com.
2. Bring: Copy of Birth Certificate, Cheergyms.com Application, Cheergyms.com Medical Information
Form and Cheergyms.com Liability Release Form (available at www.cheergyms.com).
3. Wear: Fitted top/bra top, Shorts/biker shorts, Cheer shoes, Hair in ponytail, NO jewelry, NO long nails.
4. The tryout will last 2 hours. Each athlete will be evaluated on tumbling, jumping, stunting and
performing skills. Each athlete will also be interviewed.
5. Tentative team placements will be posted online at www.cheergyms.com on Sunday, May 4, 2014 by
11:30 pm. Team placements will not be finalized until August 1, 2014. Possible team athletes will
practice, improve and fundraise all summer for their for a final position on the team.
Practices/Mandatory Tumbling Classes start the week of May 5, 2014.
Tryout Information for Half-Year/All-Star Prep Teams
(Teams start in November)
Team
Information
Sign-Up Dates
Sign-Up Cost
Concord Teams
Information will be posted
online October 1, 2014
Athletes can sign up October 1
thru October 31, 2014.
Monday - Thursday
5:30 - 7:30 pm
With Application: $20
1. Sign up at Cheergyms.com Concord.
2. Bring: Copy of Birth Certificate, Cheergyms.com Application, Cheergyms.com Medical Information
Form and Cheergyms.com Liability Release Form (available at www.cheergyms.com).
3. Team placements will be posted online at www.cheergyms.com on Sunday, November 2, 2014 by
11:30 pm. Practices start the week of November 3, 2014.
Tryout Information for Special Needs
(Session #1:September - December 2014; Session #2: January - April 2015)
Team
Information
Sign-Up Dates
Sign-Up Cost
Concord Teams
Information will be posted
online August 1, 2014
Athletes can sign up:
Session #1: August 1 thru 30, 2014
Session #2: December 1 thru 21, 2014
Monday - Thursday
5:30 - 7:30 pm
With Application:
$20
1. Sign up at Cheergyms.com Concord.
2. Bring: Copy of Birth Certificate, Cheergyms.com Application, Cheergyms.com Medical Information
Form and Cheergyms.com Liability Release Form (available at www.cheergyms.com).
3. Everyone makes the team!
Projected Teams & Practice Times
2014-2015 Season
Full Year: May 2014 - April 2015
Team Name
Team Level
Practice Times
Whisper
Youth Level 1
Thursdays 5:30 pm - 7:30 pm
Sundays 4:45 pm - 6:45 pm
Wonder
Senior Level 1
Thursdays 5:30 pm - 7:30 pm
Sundays 7:00 pm - 9:00 pm
Shine
Senior Level 2
Wednesdays 7:30 pm - 9:30 pm
Sundays 10:00 am - 12:00 pm
Aspire
Junior Level 3
Wednesdays 5:30 pm - 7:30 pm
Sunday 12:15 pm - 2:15 pm
Angels
Senior Level 3
Wednesdays 5:30 pm - 7:30 pm
Sundays 12:15 pm - 2:15 pm
Prodigy
Senior Level 4
Mondays 7:00 pm - 9:00 pm (Practice in Antioch)
Thursdays 7:00 - 8:00 pm (Tumble in Oakley)
Sundays 2:30 pm - 4:30 pm
Divine
Restricted Senior Level 5
Wednesdays 7:30 - 9:30 pm
Sundays 7:00 - 9:00 pm
Pride
International Open Coed
Level 5
Thursdays 7:30 pm - 9:30 pm
Sundays 10:00 am - 12:00 pm
All-Star Tumbling
(Mandatory)
All-Teams (select one)
Tuesdays 7:30 pm - 8:30 pm
Tuesdays 8:30 pm - 9:30 pm
Sundays 2:30 pm - 3:30 pm
Sundays 3:30 pm - 4:30 pm
Note: Additional practices in summer and before competitions will be added. All Times are subject to
change.
Half Year/All-Star Prep: November 2014 - April 2015
Team Name
Team Level
Practice Times
Cadets
Tiny Level 1
Tuesdays 5:30 pm - 7:00 pm
Troops
Mini Level 1
Tuesdays 5:30 pm - 7:00 pm
Brigade
Junior Level 1
Tuesdays 7:00 pm - 8:30 pm
Fridays 5:30 pm - 7:00 pm
Valor
Senior Level 1
Tuesdays 7:00 pm - 8:30 pm
Fridays 5:30 pm - 7:00 pm
* All Times are subject to change.
Special Needs: Session #1:September - December 2014; Session #2: January - April 2015
Team Name
Team Level
Practice Times
Sparkle
Special Needs
Sunday 4:45 pm - 6:15 pm
* All Times are subject to change.
PLEASE PUT
All-Star Cheer
Tryout Information Sheet
YOUR PHOTO
HERE
Athlete Name:____________________________________________________________________________
Birth Date:______________________ Age as of Aug. 31, 2014:________ Grade as of Sept. 1, 2014:________
Parent Name:________________________________________________ Parent Cell:____________________
Parent Email:______________________________________________________________________________
Please answer all of the following questions and check all that apply to you.
1. What level of team are you hoping to make? (You can choose more than one)
___Level 1 ___ Level 2 ___ Level 3 ___ Level 4 ___ Level 4.2 ___Level 5 _____ Level 6
2. What level of cheerleader are you?
___Level 1 (basic tumbling: forward roll, cartwheel, back walk-over, round-off)
___Level 2 (beginning tumbling: standing back handspring, round-off back handspring)
___Level 3 (intermediate tumbling: standing 2 back handsprings, round-off back handspring back tuck, jumps
to back handspring)
___Level 4 (advanced tumbling: standing back-handspring back tuck, round-off back handspring layout, jumps
to back handspring back tuck)
___Level 5/6 (elite tumbling: multiple standing back handsprings to layout/full, round-off back handspring to
full/double full, jumps to back tuck)
3. Would you be willing to crossover (be on an additional team) this year? ___ Yes ___ No
(There is no additional tuition, but there would be additional competition/choreography/coaching fees and
travel)
4. Please list your sizes: (A=Adult Y=Youth)
T-shirt_____ Fitted T-Shirt_____ Shorts_____ Biker Shorts ______Sweatshirt_____ Sports Bra_____
Staff Tryout Notes:
Tryout #:____________
(check one) Paid $30 online:_______ Paid $40 at the Door: ___Cash ____Check #
___Application ___ Medical Information Form ___Liability Release Form ___Copy of Birth Certificate
Liability Release Agreement
Participants’ name :_______________________________________________________________________________(“Student”)
This release Agreement (“Agreement”) is made effective as of _____/_____/_____(Date) by and between
Cheergyms.com, Inc., its affiliates and _____________________________________________________________(“Customer(s)”)
(Parent or Legal Guardian)
RECITALS (Classes, competitions, performances, practices, private instruction, trip or event)
A.
Cheergyms.com, Inc. provides instruction and services relating to cheerleading.
B.
Customer(s) wish for ________________________________________________________________(Student) to receive such instructions and services and has
agreed to release Cheergyms.com, Inc. as set forth below as part of the consideration for such instruction and services.
NOW, THEREFORE, the parties agree as follows:
AGREEMENT
1.
Risk. Customer understands that cheerleading activities have inherent dangers that no amount of care, caution, instruction, or expertise
can eliminate. Customer expressly and voluntarily assumes all risk that, subsequent to executing this Agreement, student will incur or
suffer personal or bodily discomfort, loss, personal injury, disability, death, damage, or property damage, or any of these, which are in
some way caused by or related to the instruction, activities, or services provided by Cheergyms.com, Inc.. Further, there is a risk that
such bodily injury, discomfort, loss, bodily damage or disability, or any of these, may be more serious than the undersigned knows,
expects, or anticipates.
2.
Release. In consideration of the covenants and provisions of this Agreement, Customer forever releases and discharges and holds
Cheergyms.com,Inc. and its affiliates, representatives, employees, attorneys, and agents of and from any and all claims, debts,
liabilities, demands, obligations, promises, acts, costs and expenses (including without limitation attorney’s fees and costs), injuries,
damages, actions, and causes of action of whatever kind or nature including, but not limited to, the releasees’ negligence or non-willful
acts or omissions, whether known or unknown, suspected or unsuspected, in connection with or relating to the instruction, activities, or
services provided to the student by the releasees’ including travel, lodging, or other activities undertaken off-site which are sponsored
by the releasees. Customer agrees and acknowledges that this release applies to both known and unknown claims and, upon advice of
Customer’s independent legal counsel, agrees to waive the benefits of California Civil Code section 1542, and any similar federal
statutes, which states as follows:
3.
A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS FAVOR
AT THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM MUST HAVE MATERIALLY AFFECTED HIS SETTLEMENT
WITH THE DEBTOR.
4.
Indemnity. Customer(s) hereby agree, jointly and severally, to indemnify, defend and hold Cheergyms.com, Inc. harmless from and against any claim, cause
of action, action, damage, death, liability, obligation, expense, lien, demand, account, and/or costs (including payment of attorneys’ fees and legal costs
actually incurred whether or not litigation is commenced) based on, in connection with, or arising out of any bodily discomfort, loss, bodily injury, disability,
death, or any damage of any nature whatsoever.
5.
Emergency Medical Information. Customer(s) have provided on Exhibit A attached hereto all emergency medical information relevant to the Student.
6.
Arbitration. Except for matters within the purview of the California Small Claims Court Act, any controversy or claim arising out of, or relating to, this Agreement,
or the making, performance, or interpretation of it, shall be settled by arbitration in Contra Costa County pursuant to the California Arbitration Act, CCP § 1280, et
seq., and judgment on the arbitration award may be entered in any court having jurisdiction over the subject matter of the controversy.
7.
Integration. This Agreement constitutes a single integrated written contract expressing the entire agreement between the parties hereto relative to the subject
matter hereof. This agreement supersedes all prior or contemporaneous agreements.
8.
Law. This Agreement shall be governed by and shall be interpreted in accordance with California law.
9.
Rules & Policies. Customer(s)agree to adhere by all the rules and policies posted in the Cheergyms.com, Inc facility and listed on the “Rules & Policies” handout that is located on the back of the monthly schedule, written in the “All-Star Handbook”, located online at www.cheergyms.com or given to the customer(s).
10. Usage of Likeness Release
I understand and agree that videos and photographs will be taken throughout all events of all cheerleading activities. These videos and photographs and the
likeness of the undersigned Student are for official use by Cheergyms.com, Inc.; on its website, brochures, flyers and other advertising materials. We
understand that the undersigned Student might be in these videos and photographs and agree to let Cheergyms.com, Inc. use his/her likeness.
Cheergyms.com, inc. will not release or sell these photos or videos to any other company for profit. Videos and photos are use for Cheergyms.com, Inc. and
its affiliates exclusively. _______Customer(s) Initials.
11. Received Cheergyms.com Rules and Policies
I have received and read the Cheergyms.com Rules and Policies. _________Customer(s) Initials.
IN WITNESS WHEREOF, the parities have executed this Agreement as of the date first written above.
CHEERGYMS.COM, INC. (2060
A California corporation
Commerce Ave., Concord, CA 94520 Tell: 866-685-7615 Fax: 925-685-8899 www.cheergyms.com)
Parent/Guardian Signature:_______________________________________________________________________________(Customer(s)) Date:______________
Participants’ Signature:______________________________________________________________________________________(Student) Date:_______________
Cheergyms.com, Inc. Signature:_______________________________________________________________________________(Witness) Date:______________
Make sure you have the Cheergyms.com Medical Information Form that MUST accompany this form!
Emergency Medical Information
Participants’ Name::_________________________________________________________________________Birth Date:____________________________
Participants’ Address:_____________________________________________________________________________________________________________
Participants’ City/State/Zip:________________________________________________________________________________________________________
Participants’ Phone: Home:_____________________________Cell:__________________________________ Email:_______________________________
Mom/Guardian Name:__________________________________E-mail:________________________________Occupation____________________________
Mom /Guardian Phone: Home#__________________________ Cell# __________________________________Work#_______________________________
Dad/Guardian Name:__________________________________E-mail:________________________________Occupation_____________________________
Dad /Guardian Phone: Home#___________________________ Cell# __________________________________Work#_______________________________
Person to be notified other than parent/guardian in an emergency
Name: _____________________________________________________________Relationship to Participant:_____________________________________
Cell Phone:____________________________ Home Phone: _________________________________Work Phone:__________________________________
Medical Information
Family Doctor:_______________________________________________________________________________Phone:______________________________
Insurance Company:_________________________________________________________Policy/Kaiser#:_________________________________________
Heart Condition: yes
no
Asthma:
yes no
Diabetes:
yes no
Allergies:
yes
no
Convulsions:
yes
no
Allergic to:______________________________________________________________________________________________________________________
Medications currently taking:_______________________________________________________________________________________________________
Any pre-existing injuries:__________________________________________________________________________________________________________
Additional medical information that may be helpful:_____________________________________________________________________________________
_______________________________________________________________________________________________________________________________
I certify that my son/daughter is mentally and physically capable and able to fulfill the requirements to participate in any class,
performance, practice, trip, and/or event sponsored by Cheergyms.com, Inc . and it’s affiliates. In the event of an emergency
occurring while my son/daughter is at Cheergyms.com, Inc. and/or its affiliates sponsored class, performance, practice, trip,
and/or event, I grant permission to Cheergyms.com, Inc., its affiliates and employees to take whatever action necessary.
__________ Parents/Guardian Initials.
In the event that I cannot be reached, I hereby authorize Cheergyms.com, Inc., its affiliates and employees to give consent for
my son/daughter to receive medical treatment. __________ Parents/Guardian Initials.
Parent/Guardian Signature:___________________________________________________________Date:______________
Participants’ Signature:________________________________________________________ ______Date:_____________
Make sure you have the Cheergyms.com Liability Release Form that MUST accompany this form!
Office Use Only: (Check all the apply)
____ Concord Cheer Gym ____ San Jose Cheer Gym ____Petaluma ___ Classes ____ Privates ____ The Club! ____ All-Stars ____ Gym Rental ______
____Spirit Spectacular:____ Camps/Clinics ____ Choreography ____ Other:______________________________________________________________
____ Medical Information Form Received ____ Liability Form Received _____ Entered on Computer ____Entered on Mailing List
Date Membership Paid: ________All-Star ________The Club! ________ Classes/Privates _______Other ______________________________________
Employee who filled out this box:_________________________________________________________________________________________________
2060 Commerce Ave., Concord, CA 94520 Tell: 925-685-3910 Fax: 925-685-8899 www.cheergyms.com
Program Expenses 2014-­‐2015 All Star $2,988 $150 $395 $1,155 $573 $45 Tuition for the months of May-­‐April ($249/month) # -­‐ $239/month if pay tuition with autocharge, $229/month if pay tuition in full at contract signings -­‐ Includes practices for 2 hours, twice/week & mandatory tumbling class for 1 hour, once/week Start-­‐Up Fee# Camp (Due May 28th, 2014) Competition Fees, Coaches’ Fees, & Choreography/Music Fees for the season -­‐ Payment will be $192.50/month for 6 months if athlete joins during the months of May-­‐Aug -­‐ Payment will be $231/month for 5 months if athlete joins during the months of Sep-­‐Nov -­‐ No athlete will be added to the All Star Program after November 30th Uniform Top, Skirt/Pants, Shoes, & [email protected] Practice Clothes – 2 T-­‐shirts, 1 pair of [email protected] All Star Prep $354 $654 $150 $330 $215 $45 Tuition for the months of November-­‐April ($59/month) # -­‐ Tiny Prep & Mini Prep -­‐ Includes practices for 1.5 hours, once/week -­‐ extra tumbling classes can be taken for a discounted price for being a member of the program Tuition for the months of November-­‐April ($109/month) # -­‐ Youth prep, Junior Prep, & Senior Prep -­‐ Includes practices for 1.5 hours, twice/week -­‐ extra tumbling classes can be taken for a discounted price for being a member of the program Start-­‐Up Fee# Competition Fees, Coaches’ Fees, & Choreography/Music Fees for the season -­‐ Payment will be $110/month for 3 months starting November 28th -­‐ No athlete will be added to the All Star Prep Program after December 31st Uniform Top, Skirt/Pants, Shoes, & [email protected] Practice Clothes – 2 T-­‐shirts, 1 pair of [email protected] International $0 Tuition for the months of May-­‐April -­‐ Includes practices for 2 hours, twice/week -­‐ extra tumbling classes can be taken for a discounted price for being a member of the program $150 Start-­‐Up Fee# $1,355 Competition Fees, Coaches’ Fees, & Choreography/Music Fees for the season -­‐ Payments will be $271/month for 5 months starting August 28th $573 Uniform Top, Skirt/Pants, Shoes, & [email protected] $45 Practice Clothes – 2 T-­‐shirts, 1 pair of [email protected] Special Needs $236 $150 $120 $573 $45 Tuition for the months of September-­‐December or January-­‐April ($59/month) # -­‐ Includes practices for 1.5 hours, once/week -­‐ extra tumbling classes can be taken for a discounted price for being a member of the program Start-­‐Up Fee# Competition Fees, Coaches’ Fees, & Choreography/Music Fees for the season -­‐ Payment will be $40/month for 3 months starting September 28th or January 28th Uniform Top, Skirt/Pants, Shoes, & [email protected] Practice Clothes – 2 T-­‐shirts, 1 pair of [email protected] # -­‐ Due at Contract Signings @ -­‐ Due at Uniform Fittings 2014-­‐2015 All-­‐Star Cheer Important Dates to Remember 2014 May th
5 th
5 th
11 rd
th
23 – 26 th
28 Contract Signings Start All Star Practices begin Mother’s Day (Gym Closed) Memorial Day Weekend (Gym Closed) Tuition Due December th
th
13 & 14 GSSA Championships (All Star, Worlds, Special Needs) th
17 Cheergyms.com Holiday Party st
st th
th
th
st
21 – 31 Winter Break (Gym Closed 24 , 25 , 30 , 31 ) th
28 Tuition Due June th
15 nd
22 th
25 th
th
26 – 29 th
28 th
30 Father’s Day (Gym Closed) Combined Practices at Concord Gym (All Teams) No practice – Camp setup!!! Cheergyms.com All Star Camp -­‐ Mandatory (Sonoma State University – Rohnert Park, CA) Tuition Due All Star Vacation January st
rd
1 – 3 Winter Break (Gym Closed) th
4 Practices Resume th
th
24 – 25 American Masterpiece (All Star Teams) th
28 Tuition Due st
st
31 – Feb 1 SPIRIT SPORTS Duel in the Desert (Worlds Team) July st
th
1 – 6 th
4 th
13 th
th
19 – 20 th
28 All Star Vacation th
4 of July (Gym Closed) Combined Practices at Concord Gym (All Teams) Choreography Weekend (2 hours Sat. OR Sun.) Tuition Due August st
rd
1 – 3 Staff at USASF Regional Meeting (Gym Closed) th
10 Combined Practices at Concord Gym (All Teams) th
th
5 – 14 Choreography for all teams will be during this time! rd
th
23 – 24 Choreography Weekend (2 hours Sat. OR Sun.) th
28 Tuition Due th
st
29 – 31 Labor Day Weekend (Gym Closed) September st
1 th
th
13 – 14 th
th
13 – 14 th
28 Labor Day Weekend (Gym Closed) Choreography Weekend (2 hours Sat. OR Sun.) Jeff Benson and Debbie Love Clinic Tuition Due October st
1 th
19 th
28 st
31 2014/2015 All Star Prep Team Sign-­‐ups Begin Cheergyms.com Fall Extravaganza (All Teams) Tuition Due Halloween (Gym Closed) November nd
2 th
16 rd
th
23 – 29 th
28 th
30 ALOHA Oakland (All Star Teams) NORCAL Victory Cup (All Star & Special Needs Teams) th
th
Thanksgiving Break (Gym Closed 26 – 29 ) Tuition Due There will be All Star Practice! February st
1 th
14 th
nd
20 – 22 st
27th – Mar 1 th
28 SPIRIT SPORTS Duel in the Desert NCA Nor Cal Classic (All Star & All Star Prep Teams) JAMZ All Star Nationals (Worlds Team) NCA All Star Nationals (All Star & Worlds Teams) Tuition Due March st
1 th
th
7 – 8 th
28 NCA All-­‐Star Nationals (All Star & Worlds Teams) Aloha Sacramento (AS, ASP, SN & W Teams) Tuition Due April th
th
11 – 12 ENCORE Sacramento (All Star Prep & Special Needs) th
12 CG End of the Year Extravaganza!!! th
th
17 – 19 Cali Finale (All Star Teams) th
th
26 – 28 USASF CHEERLEADING WORLDS (Worlds Team Only) May nd
rd
2 – 3 Cheergyms.com 2015-­‐2016 All-­‐Star Cheer Tryouts! All dates are subject to change.
Please check your emails frequently for updates. – updated 4/1/14

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