CNY Storm All Stars
Transcription
CNY Storm All Stars
CNY Storm All Stars 2014-2015 Program Information Founded in 1996, CNY Storm was the first All Star program in NYS and this year we will be celebrating our 19th season! There’s a reason we’ve been around this long and we want you and your family to see why! Everyone is welcome to join our teams! Tumbling is not required for all of our teams! We offer teams for all ages, ability levels, and family budgets! Take a few minutes to read over the enclosed details, get the facts, and see why your child should be at CNY! We are the longest running and most successful program not only in Central New York and the Capital District, but in all of NYS! Safe learning environment: proper equipment, proper progression of cheerleading and tumbling skills, structured practices, proper supervision. Our staff are experienced, knowledgeable, nationally recognized, USASF credentialed, leaders in our industry, judges, choreographers, and several are educators. Organized: everything goes out in writing, schedules are given months in advance, constant communication and access to information all season long, regularly scheduled parent meetings, monthly financial statements, and more. Fees: tuition and fees do not change during the season, there are no money surprises during or at the end of the season. You’ll know exactly what will be due all season long by reading this packet. We do more than cheerleading: we offer community service activities, academic rewards, college scouting opportunities, a family atmosphere, personalized athlete progress reports, and we teach life skills; including the Powerful Words Character Development curriculum. Fundraising: Our Booster Clubs are here to help you earn money to offset your child’s expenses. Fundraisers are offered all season long so you have the opportunity to raise as much as you would like. Some of our families are able to fundraise their whole season! United States All Star Federation (USASF) member gym: we follow the USASF guidelines and professional code of conduct, all of our athletes are USASF members, and our owner serves on the Board of Directors. And there’s more: we build self-esteem and confidence, routines are age appropriate, we promote good sportsmanship, everyone is treated the same, our program has dedicated cheerleaders, families, and staff, and we care about your kids! 1 Watertown Gym 585 Rand Drive, Watertown, New York 13601 (315) 778-8609 Team placements: Wednesday, June 4th 7:00pm–8:30pm: Ages 11 and under 8:00pm-9:30pm: Ages 12 and over Information meeting for new parents: Wednesday, June 18th, 6:30pm Albany Gym Syracuse Gym 45 Railroad Ave., Albany, NY 12205 (518) 489-3625 196 Hiawatha Place, Syracuse, NY 13208 (315)457-8274 Team placements: Saturday, May 17th Team placements: Sunday, May 18th 9:30-11:30am: Level 5 (Worlds) (ages 12-18) 10am-12:00pm: Level 5 (Worlds) (Ages 12-18) 12:30-2:30pm: Level 3&4 (ages 9-18) 12:30-2:30pm: Level 3&4 (Ages 10-18) 2:30-4:30pm: Level 1&2 (ages 9-18) 3:00-5:00pm: Level 1&2 (Ages 9-18) Tiny team members (ages 4-5) and mini team members (ages 6-8) do not need to attend team placements. Each team will start the week of May 19th. Tiny team members (ages 4-5) and mini team members (ages 6-8) do not need to attend team placements. Each team will start the week of May 19th. 7-8 year olds who would like to be considered for a Youth/Junior team may attend team placements. 7-8 year olds who would like to be considered for a Youth/Junior team may attend team placements. Information meeting for new parents: Wednesday, May 14th, 6:30pm Information meeting for new parents: Tuesday, May 13th, 6:30pm Team placement requirements: What to bring: New Members: $55 Team placements & June tuition Returning Members: $45 Team placements & June tuition $45 Annual gym registration fee Questionnaire (with photo for new members) *please indicate your travel level preference on the questionnaire CNY release form Photocopy of child’s birth certificate Please arrive early to register and turn in paperwork Signed & notarized rules and financial commitment form (available on our website, click “Programs” and then “All Star Teams”) What to wear: t-shirt & shorts sneakers hair up, no jewelry Our tryouts are not stressful, cheerleaders do not need to master skills at team placements, all ability levels are welcome! Our job is to teach you the skills during the season, this is just an evaluation to see where each child will fit best in our program. The CNY staff will determine which team your child will be placed on based on age, abilities, and the needs of each team. Please refer to the skill levels chart on the next page to have an understanding of team levels and skills preferred for each level. Please also feel free to take advantage of the classes we offer during the month of May to further prepare for team placements. Please note that team placements will be closed to parents and other spectators. Tentative team placements will be emailed to parents by 9pm on Friday, June 6th. Cheerleaders will continue to be evaluated the first few weeks of the season and final team placements will be made in July. Please note: in order to fill all teams, we will continue to accept cheerleaders after the initial team placements. If you are unable to attend our team placement date please contact us ([email protected]) to schedule an evaluation. 2 Other teams we offer: Auditions for our Albany gym Hip Hop teams will be held Tuesday, May 27th, 4-9:30pm Auditions for our Syracuse gym Hip Hop team Monday, May 19 th 4-5:30pm (ages 8-14). Tryouts for our Open Level 6 teams (ages 17 & older) in the Syracuse gym will be held in late August. Tryouts for our Open Level 4 team (ages 17 & older) in the Albany gym will be held in June. Our Special Needs teams will begin in September in Albany and Syracuse. Our half year teams will begin in early November in Albany and Syracuse (ages 8-14 and 10-18). Separate information packets for each of the above teams will be added to our website closer to their tryout/audition dates. Understanding All-star Levels: LEVEL 1 Tumbling: cartwheel, round off, forward roll, front and back walkovers LEVEL 2 Tumbling: standing: back handspring, running: round off series handsprings LEVEL 3 Tumbling: standing: series handsprings, running: round off handspring tucks LEVEL 4 Tumbling: standing: tucks, handspring tucks, running: round off handspring layouts LEVEL 4.2 Tumbling: standing: back handspring, running: round off series handsprings Jumps: beginner jumps with beginner technique/height Jumps: beginner single jumps & double jumps with beginner technique/height Jumps: intermediate jumps with good height and jump to back handspring connection Jumps: advanced jumps with advanced technique/height and jump to handspring tuck connection Jumps: beginner single jumps & double jumps with beginner technique/height Stunts: intermediate stunting including twisting dismounts from two-legged stunts, one-legged stunting at an extended level and some inverted load-ins allowed Stunts: advanced stunting including twisting dismounts from two-legged stunts, double twisting dismounts from twolegged extended stunts and advanced load-ins Stunts: beginner level stunting including two-legged stunting at shoulder level and one-legged stunting at knee level Tosses: no basket tosses are allowed at level 1 Stunts: beginner level stunting including two-legged stunting at extended level and one-legged stunting at shoulder level Tosses: straight tosses only Tosses: basket tosses involving one skill (ex. Toe Touch, Pike, Twist) Tosses: basket tosses involving two skills (ex. Kick Single Baskets) Stunts: advanced stunting including twisting dismounts from two-legged stunts, double twisting dismounts from twolegged extended stunts and advanced load-ins Tosses: basket tosses involving two skills (ex. Kick Single Baskets) LEVEL 5 Tumbling: standing: handspring to full or standing full, running: round off handspring full/doubles Jumps: elite jumps with elite technique/height, and jump to tuck/full connection Stunts: elite stunting including double twisting dismounts from one-legged extended stunts and advanced load-ins Tosses: basket tosses involving three skills (ex. Kick Double Baskets) Team information: Time Commitment: Cheerleaders are allowed to participate on other teams, school activities, etc., however, all CNY Storm practices, performances, competitions, and other Storm commitments are mandatory and must take priority over the other activities (unless grade related). It is the responsibility of each cheerleader to resolve any conflicts and keep his/her schedule open for their CNY commitments. We have team members relying on each other to be there for all Storm commitments. Cheerleaders must be at the last two practices before a performance or competition, including the Sundays at the end of a holiday/vacation/school breaks including, but not limited to:11/30/14, 1/4/15, 2/22/15, and April break. Competitions may be during the February & April school breaks. Our attendance policies are strict in order to be fair to everyone on the team. Cheerleaders cannot be a member of another all-star program while participating on a CNY Storm team. Practices: Practices begin the week of June 11th. Exact days and times will be determined by the results of team placements. The gyms will be closed on 7/2, for the 4th of July holiday. (July tuition is still due by 7/1). Additional Holiday closings will be distributed at Storm Start up Night. 3 Tentative practice days and times will be added to our website by early June. June through August practices will be weeknights for all teams. Teams will move to an additional Sunday practice during the school year. Mini Rec classes will be held once a week. Crossovers must fulfill their commitment to all of their teams’ practices. Mandatory Stunt & Choreography workshops for each team: (exact dates and times TBD) Mini team workshops TBA All Youth-Senior level teams will have routine choreography 2 days – 7/16/14 through 7/19/14 Mandatory Summer Skills Camp : This camp will be held at the Syracuse location .the week of July 7th, for youth-senior teams. Camp will be taught by CNY Staff, Debbie Love of GymTyme All Stars, and Spirit of Texas staff. Exact dates/times TBA, cost TBD. Additional Summer Camps: Team bonding and optional camps offered at the gym. More details TBA. Mandatory Showoff/Pep Rally, Performances, & Competitions: These begin in late October/early November and continue through the end of April 2015 and some teams may compete the first weekend of May 2015. All are mandatory. A tentative performance and competition schedule will be distributed at Storm Start Up Night and the detailed competition information packet and final schedule will be distributed in early September. Rules and Regulations: It is important to our program’s success that everyone is aware of the rules and abides by them. These rules are available on our website. It is the responsibility of each parent to read the packet in its entirety and discuss them with their child. Each parent/guardian will need to sign and turn in the rules and financial responsibility form by June 11th in order for their child to participate in practices. 4 Choose your level of travel and financial commitment: LOCAL REGIONAL Local teams practice twice a week, compete locally and within a 23 hour radius of Albany/Syracuse with limited overnight stays plus one traveling (regional) competition near the end of the season. (57 competitions) Regional teams practice twice a week, compete locally and will do two to three more regional competitions than the local teams, including overnight travel. Regional destinations may include the Northeast, Mid-Atlantic, and Ohio areas. (6-8 competitions) The teams may end their season at the U.S. Finals in Providence, RI the first weekend of May 2015. Local teams to be offered: 8/31/14*. based on participant’s age as of Regional teams to be offered: based on participant’s age as of 8/31/14*. Mini (ages 8 & under) Youth (ages 11 & under) Senior (ages 10-18) Regional teams can be Level 1-4 & 4.2. NATIONAL (Syracuse and Albany only) WORLDS (Syracuse and Albany only) National level teams practice twice a week plus an additional Sunday class, attend most local and regional events, as well as one or two additional National events, including one flight. Destinations in the past have included Dallas, Atlanta, Indianapolis, Myrtle Beach, and Orlando. (8-11 competitions) The teams may end their season at the U.S. Finals in Providence, RI the first weekend of May 2015. Worlds Level 5 team practices twice a week plus an additional tumbling/conditioning class September-April. These athletes compete at the highest level and will vie for a bid to the 2015 Cheerleading Worlds to be held in Disney World, FL. April 24 th28th, 2015. The World Championship is in addition to local, regional, and national competitions. (8-12 competitions) Worlds team to be offered: based on participant’s age as of 8/31/14*. National teams to be offered: based on participant’s age as of 8/31/14*. Senior (ages 12-18) Youth (ages 11 & under) Now offering a Worlds team (Level 5) in both the Albany and Syracuse locations! Junior (ages 14 & under) Senior (ages 10-18) National teams can be Level 1-4 & 4.2. ALTERNATES CROSSOVERS Alternates for each team will be selected by the staff (base, backspot, flyer). The alternate will attend 1-3 practices a month to learn the team’s skills and routine. They will be asked to fill in when someone is absent from practice and if a team member is injured or ineligible to compete with the team. There is no cost to alternates. Please indicate on your questionnaire if you would like to be considered for an alternate position. Cheerleaders can choose to cheer for more than one team within the season. For example, a cheerleader would compete on a Youth and Junior team for the season. Preference for crossovers will be given to experienced cheerleaders. Teams that will utilize crossovers will be determined by the CNY Staff. Please indicate on your questionnaire if you would like to be considered for a crossover position. Cheerleaders will be limited to crossing over to one other cheer team. Cheerleaders are also welcome to crossover to the hip hop teams. Crossovers must come to the additional tryout time for the team/level they are interested in crossing over to. *A copy of the participant’s birth certificate is required at team placements. 5 Cost Fundraising is available to all participants all season long! You get what you pay for! Team tuition is due by the first of each month June 2014-April 2015. Tuition includes cheerleading instruction and tumbling instruction at practice. There is a $25 family tuition discount for the 2nd/3rd child. $45/month: Mini Rec team, 2 practice hours once a week $80/month: Mini Local team, 1.5 hours once a week (summer), 2 hours twice a week (fall), plus tumbling class $80/month: Youth/Senior regional teams, 1.5 hours once a week (summer), 2 hours twice a week (fall), plus tumbling class $120/month: National and World’s teams, 3 hours twice a week, plus 1 class per week Additional Classes: An unlimited class pass can be purchased for $25 each month. Competition travel: you make your own arrangements so you can spend as little or as much as you like on hotels, etc. CNY will offer optional hotel room blocks for our group. Some events now require us to purchase their hotel room block. Details will be in the competition information packet distributed in September. Additional fees due during the season, payments spread out during the season (fees are non-refundable). Payments: The adult responsible for payment must provide a credit card or automatic checking/savings withdrawal form for all payments (last page of the rules packet). You can choose to have your payments withdrawn automatically on the 1st of the month for tuition and/or the 15th of the month for the other fees due. If you choose to pay tuition by check or cash and payment is not received by the 8th of the month, the credit card or bank account information you provided will be charged/debited for the tuition payment, along with a $10 late fee. If you choose to pay additional fees due by the 15th of the month by cash or check and they are not received by the 25th of the month, those fees will be charged/debited to the account information you provided. If fees remain unpaid by the end of the month your child will have to sit out from practices/performances/competitions until the fees are paid in full. The fee for a returned check, declined credit card or ACH payment is $40. CNY Cheer Company, Inc maintains the right to refuse service at any given time. Please note: Fees are still due if you join late. Fees can be paid prior to due dates. Competition/admin/staff travel fees paid in full by 8/15/14 will receive a 5% discount. There will be a 10% late fee for uniform and competitions fees not paid on time. Mini Local team payment plan (in addition to monthly tuition) - Fees due as scheduled below: Fee Due by 6/18/14 6/18/14 7/15/14 7/15/14 7/15/14 8/15/14 8/15/14 9/15/14 9/15/14 10/15/14 10/15/14 11/15/14 12/15/14 2/15/15 Fee description Practice wear ($45) Sneakers ($35) ½ of routine choreography & music USASF Annual membership fee Balance of routine choreography & music Optional Storm gear items (bags, sweatshirts, etc.) Uniform (approximate amount) New uniform for 2014-2015 season. 5% discount off of total competition/admin/staff travel paid by this day First installment of competition fees/staff travel/admin Bow (approximate amount) Second installment of competition fees/staff travel/admin Optional Storm warm up and Storm gear items Third installment of competition fees/staff travel/admin Fourth installment of competition fees/staff travel/admin Final installment of competition fees/staff travel/admin Estimated total for season (plus tuition) 6 Amount $80 $38 $30 $37 TBD $165 -$110 $25 $110 TBD $110 $110 $110 $925 Youth/Senior Regional team payment plan (in addition to monthly tuition) - Fees due as scheduled below: Fee due by 6/18/14 6/18/14 7/15/14 7/15/14 7/15/14 7/15/14 8/15/14 Fee description 2 Practice outfits ($80) and Sneakers ($85) ½ of routine choreography & music USASF Annual membership fee Balance of routine choreography & music Optional Storm gear items (bags, sweatshirts, etc.) Summer skills camp Uniform (approximate amount) Same uniforms as the 2013-2014 season. Amount $205 $175 $30 $175 TBD TBD $295 Last season with this uniform. 8/15/14 9/15/14 9/15/14 10/15/14 10/15/14 11/15/14 12/15/14 2/15/15 3/15/15 5% discount off of total competition/admin/staff travel paid by this day First installment of competition fees/staff travel/admin Bow (approximate amount) Second installment of competition fees/staff travel/admin Optional Storm warm up and Storm gear items Third installment of competition fees/staff travel/admin Fourth installment of competition fees/staff travel/admin Final installment of competition fees/staff travel/admin US Finals Fee (based on team qualification) (Not included in season total) Estimated total for season (plus tuition) -$170 $25 $170 TBD $170 $170 $170 $5-$65 $1755 Youth/Junior/Senior National & World’s team payment plan (in addition to monthly tuition) - Fees due as scheduled below: Fee due by 6/15/14 6/15/14 7/15/14 7/15/14 7/15/14 7/15/14 8/15/14 Fee description 2 Practice outfits ($120) and Sneakers ($85) ½ of routine choreography & music, travel USASF Annual membership fee Second ½ of routine choreography & music, travel Optional Storm gear (bags, sweatshirts, etc.) Summer skills camp Uniform (approx. cost) Same uniforms as the 2013-2014 season. ($315 for Amount $205 $175 $30 $175 TBD TBD $295 worlds). Last season with this uniform. 8/15/14 9/15/14 9/15/14 10/15/14 10/15/14 10/15/14 11/15/14 12/15/14 2/15/15 3/15/15 TBD 3/15/15 5% discount off of total competition/admin/staff travel paid by this day First installment of competition fees/staff travel/admin Bow (approximate amount) Second installment of competition fees/staff travel/admin Optional Storm warm up and Storm gear items Worlds Cover-up Third installment of competition fees/staff travel/admin Fourth installment of competition fees/staff travel/admin Final installment of competition fees/staff travel/admin US Finals Fee (based on team qualification) (Not included in season total) National event team t-shirt World’s practice wear, t-shirt, and NYS Worlds t-shirt (approximate) World’s hotel package & staff travel (approximate amount) Estimated National team total for the season (plus tuition) Estimated World’s team total for the season (plus tuition) 7 -$225 $25 $225 TBD TBD $225 $225 $225 $5-$65 $16-$20 $105 $675 $2050 $2830 Crossover fees – Fees due as scheduled below: 6/18/14 7/15/14 9/15/14 10/15/14 11/15/14 12/15/14 2/15/15 ½ of routine choreography & music for second team Second ½ of routine choreography & music for second team First installment of competition crossover fees (estimate) Second installment of competition crossover fees (estimate) Third installment of competition fees/staff travel/admin (estimate) Fourth installment of competition fees/staff travel/admin (estimate) Final Installment of competition crossover fees (estimate) Estimated total for the season (plus crossover tuition) 8 $175 $175 $75 $75 $75 $75 $75 $725 Storm Start Up Night Parents/Guardians of each cheerleader as well as the cheerleader must attend. There will not be regular practices or classes this night in order for all staff and athletes to attend. Albany Gym: Wednesday, June 11th 6-7:30pm for Veteran parents 7-9pm for new and 2nd year parents Syracuse Gym: Thursday, June 12th 6-7:30pm for Veteran parents 7-9pm for new and 2nd year parents Watertown Gym: Wednesday, June 18th 6:30-8:30pm for ALL parents We will be reviewing all of our rules, policies and procedures for the season, the tentative competition schedule, sizing for sneakers, practice wear, uniforms, and more! The Booster Club will also be sharing information on their plans for the upcoming season. Questions? Please contact one of us: Watertown Program Director: Jennifer Dindl-Neff, [email protected] , (315) 778-8609 (cell) Program Director: Kathy Penree, [email protected], (315) 866-0225 (office) STAY CONNECTED WITH CNY! Like us: CNY Storm Follow us: @cnyallstars Follow us: @cnystormallstars WWW.CNYSTORM.COM 9 Don’t just take our word for it, read what some of our parents have to say about our program: This was our first year with CNY and we had come from another gym and we were nervous about changing but I have to say this was the best move! My daughter Angelica has come so far and has grown so much with all the support from all the coaches! She has made so many new friendships and bonds!! We look forward to another year full of excitement that CNY has to offer! Thank you all so much!! -Chrissy Cook For the past 6 years we have been with CNY it has been everything and more I thought it could be! To see my daughters grow not only as athletes but as an individual thanks to the dedicated and amazing coaches has truly been heartwarming. We not only made friends but those friends turned into family. So lucky to call our CNY Storm family just that, family! -Tara Hulett When my daughter asked me if she could cheer at age 6 there was no place other than CNY Storm I considered taking her. 8 years prior to her request, I was finishing my last year as a cheerleader w/Storm on the co-ed Open team so I knew this was the place for us. It's been an amazing 4 years watching my daughter grow as a cheerleader - far surpassing my ability level at her age - as well as gain confidence, learn respect for herself and others, and understand the true meaning of commitment and teammates. Even at a young age it's easy to see the bonds built and it's wonderful as a parent to connect w/other moms and dads on this platform. Storm goes above and beyond to push the kids to master the skills not only in their routine, but in their level and beyond so they can continue to grow and be part of such an amazing legacy - after 19 years, of producing champions, it's obvious they are doing everything right! -Meagan Dwyer This has been an amazing season of growth for my daughter. So pleased with the professional staff, the cleanliness of the gym, the positive encouragement that she receives, and the new skills that she has learned. Can’t wait to see what next season brings! -Stevi Wilson, 1st year CNY Members My daughter will be starting her 8th season with Storm next year and we couldn't be happier. CNY Storm has amazing coaches who are committed to bringing out the best in all their athletes and teams. There are so many benefits to All-star cheer in general and to cheering at Storm in particular! The first benefits that come to mind are pretty obvious: Amy has become more physically fit and has gained many new skills, she has learned to be a good teammate, and to win (and lose) with class and good sportsmanship. Some benefits are not as obvious such as; having a place where she can escape the drama that comes with being a teenager in a public school, looking beyond her local area to find friends, learning to budget her time and energy, and learning to appreciate and understand teammates and gym mates of different ages and different interests. We look forward to many more years at CNY Storm... come join us! -Cassie Castle Our daughter, (and our family) joined CNY Storm 3 years ago. There is so much more to this organization than great All-star cheer. Teamwork, motivation, honesty, integrity and determination are worked into life lessons your child will take with them throughout their lives. Our whole family truly enjoys our time with a wonderful bunch of people, families and staff alike. This will be my daughter's 6th year cheering at CNY. I can honestly say these past years have been a truly great experience. The atmosphere at the gym is always positive. The coaches and staff give the athletes encouragement, they teach them to do their best, have fun and most importantly teamwork. CNY is a great organization who has taught my daughter skills, confidence and life lessons that will stay with her in everything she does. We are looking forward to more great seasons at CNY. -Leigh Fredenburg Last year, I joined a cheerleading team. It's called CNY Rainbows, its a special needs team. Everyone's special need is different. Some of the girls have autism, one girl has down syndrome, some of the girls are in wheelchairs. It takes a lot out of me and it makes me more flexible. We have lots of practices and I never miss one competition at all. It makes me feel good to be part of a team. I became friends with a lot of the teammates and it makes me feel really happy. Whenever we have practices, we are so happy to see each other and we all give each other hugs like we are family. Our team feels like a family because we know each other really well. It makes me so happy to see everyone. Our team is a family because we all look out for each other and support each other and encouragement each other. Whenever we do a lift, we all clap for each other and I love it so much. Right after we come down from the lift we give high fives and say "Great job!" We are friends with each other. Julia Hubert (Special Needs Cheerleader) 10 2014-2015 CNY Storm All Stars New team members: Please attach an individual Name:____________________________________________________ photo here. Thank you. 2014-2015 Grade:____________ Date of Birth:__________________ Age as of 8/31/14________________ T-shirt size: ___________ Shorts size: _________ Shoe size: ___________ Address:_______________________________________________________ City:_________________________________________ Zip:_____________ Home Phone #: ( Participant’s Cell #: ( )_____________________________________ )___________________ Athlete Email:________________________________________ Parents responsible for child:_____________________________________________________________________ Mother’s email:_____________________________________ Father’s email:______________________________ Mother’s cell #: ( )__________________________ Father’s cell #: ( )___________________________ Mother’s place of employment, with address:__________________________________ ____________________ Father’s place of employment, with address:_________________________________________________________ Hometown newspaper:__________________________________________________________________________ Have you cheered before _______No ________Yes- If so, where_______________________________________ How did you hear about our team placements?_______________________________________________________ At which stunt position do you have experience? NONE FLYER BASE BACKSPOT Check your most advanced Stunting skill level: ____ Level 1 (No experience or level 1 stunts, preps) ____ Level 2 (Ex. Preps, Extensions, Straight Cradle dismounts and straight ride baskets tosses) ____ Level 3 (Ex. Extended one-legged stunts, Full twisting two-legged dismounts, single trick basket tosses) ____ Level 4 (Ex. Extended one-legged stunts, Double twisting two-legged dismounts, kick-full basket tosses) ____ Level 5 (Ex. Double twisting one-legged dismounts, kick double basket tosses, full-ups, ball-ups) Check all tumbling skills you can throw on the floor & WITHOUT A SPOT Standing tumbling Standing Series Tumbling Running Tumbling None Backwalkover Backhandspring Jump to BHS Tuck Jump Tuck Standing full Multiple Backhandspring BHS tuck Two BHS to tuck BHS to layout Two BHS to layout BHS to full Two BHS to full None or roundoff Backhandspring Tuck Layout Full Double full I would like to be considered for a: (please indicate your preference starting with 1 for your first choice) ___ Local team ___ Regional team ___ National team ____ Worlds team ____ Crossover team ___ Alternate 11 For Staff Use Only Registration Fee Amt _______ MOP_________Date______ Team Placement Amt_________MOP_________Date______ Birth Certificate Physical USASF Form Rules/Regs/Financial liability 2014-2015 CNY Storm All Stars Participant’s Name:___________________________ Date of birth:_______________ Age (as of 8/31/14):______ Parent/Guardian’s Name:_________________________________________________ 2014-2015 Grade: _______ Address:_______________________________________________City:_____________________ Zip:___________ Home Phone #:( )______________________ Mother’s cell phone #:( )___________________ Father’s cell phone #:( )________________________ Emergency contact other than parent:____________________________________________________________ Relationship to participant:_______________________________ Cell #:( )___________________________ Insurance Carrier:___________________________________ Policy #:__________________________________ Family Physician:__________________________________________ Phone #: ( )______________________ Medical History: please provide details for all that apply: Allergies_________________________________ Asthma___________________________________ Diabetes_________________________________ Epilepsy/fainting___________________________ Migraines________________________________ Heart trouble______________________________ Contact lenses____________________________ Abnormal/irregular menstrual cycle_____________ Medical conditions currently being treated_________________________________________________________ Pre-existing injury_____________________________________________________________________________ Medications currently taking____________________________________________________________________ I hereby grant permission to licensed hospital and/or health center staff members to administer immediate medical treatment as deemed necessary to my child should he/she be injured during a CNY Cheer Co., Inc/CNY Storm All Stars event (practice, camp, clinic, competition special event, etc.) Further, I understand that I am responsible for payment of expenses related to treatment. I understand there is a risk involved in cheerleading, gymnastics skills, and dance and that the training of these skills includes the risk of minor injuries such as bruises and sprains and more serious injuries such as broken bones, permanent paralysis, or even death from landings or falls on the back, neck, or head. I agree to assume all of the risks inherent in any such activities. I release and forever discharge CNY Cheer Company, Inc./CNY Storm All Stars of and from all claims, judgments, losses, liabilities, damages, costs and expense of any nature (“claims”) arising out of or in anyway connected with my child’s participation in such activities. ______________________________________________ __________________________ Parent/Guardian signature Date 12