The Chicago Junior Luvabulls Are Seeking New Members!

Chicago Bulls Jr. Cheerleaders
The Chicago Junior Luvabulls
Are Seeking New Members!
Come join us & perform at Chicago Bulls home games on the court at the United
Center and perform all throughout the Chicagoland area. All girls ages 7 - 17 are
invited to join our team. The Chicago Junior Luvabulls program goals include:
• Building Self-Confidence • Building Self-Esteem • Developing Teamwork Skills
No auditions or tryouts! Space is limited!
Register to reserve your space for the 2012-13 season (season runs from October 2012 - April 2013). The registration form can be downloaded by going to
Bulls.com/JrLuvabulls; please complete and e-mail to [email protected]. The completed form can also be mailed to: C.C. Company of Illinois, Inc., P.O. Box 4712,
Wheaton, IL 60189-4712. Confirmation will be provided via e-mail.
Registration fee of $155 (please note change) includes registration costs, training camp, pom pons and a Junior Luvabulls t-shirt. Please note that tickets are
NOT included in this REGISTRATION FEE. A separate order form to order game tickets will be available at the parent orientation meeting on Sept. 29, 2012 at UIC Flames
Athletic Building, 839 W. Roosevelt Rd., Chicago, IL 60608. Monthly tuition is $65. The Jr. Luvabulls uniform cost is at least $130 plus tax (please note change).
Training Camp is on Sept. 29 at UIC Flames Athletic Building, 839 W. Roosevelt Rd., Chicago, IL 60608. PARENTS ARE REQUIRED TO ACCOMPANY THEIR CHILD
TO REGISTRATION AND ATTEND PARENT ORIENTATION.
Something new for returning Junior Luvabulls only: returning Juniors must purchase a new top only, for a fee of $70.00. The full registration fee is due before
parent orientation on Sept. 29. There are NO refunds or tuition breaks if you cannot attend the clinic on Sept. 29. (Possible facility sites: Chicago-UIC
College Prep, 1231 S. Damen; Naperville-River Run Club, 4204 Clearwater Lane).
For more information, visit Bulls.com/JrLuvabulls or Call C.C. Company of Illinois, Inc. or call (630) 668-8115
Participant Name: Address: Date of Birth: City: State: Age:
ZIP:
Contact Person: Facility Preference :
(choose one from selection above)
Home Phone: Choose Only One:
Adult T-Shirt Size:
Payment Method: Credit Card: Work Phone:
S
M
Visa L
XL
Youth T-Shirt Size:
MasterCard
E-mail Address:
S
M
L
(New or Returning)
American Express (No Debit Cards Accepted)
[$155.00] (No personal checks please; cashier’s checks or money orders only.)
Credit Card Number: Exp. Date: V-Code:
(Required-last 3 digits on signature strip on back of card)
Agreement of Compliance
Medical Treatment, Liability Release, and Appearance Agreement
Advisor/Coach/Director: An Agreement of Compliance must be completed by each participant and signed by a
parent or guardian in order for the individual to participate at a Junior Luvabull event. Please photocopy and retain
for your records.
Participant’s Name____________________________________________ Grade___________ Age_____________
Date of Birth________________ Social Security Number_____________________
Event Attending_____________________________________________ Event Dates________________________
Organization Affiliation_________________________________________________________________________
Medical History of Participant - Please provide details for all that apply.
Allergies_______________________________ High Blood Pressure_____________________________________
Asthma________________________________ Recurring sore throat/ear infection_________________________
Convulsions____________________________ Medications currently taking______________________________
Diabetes________________________________ Pre-existing injury currently being treated____________________
Migraine headaches________________________Medical conditions currently under treatment________________
Heart trouble_____________________________ Abnormal/irregular menstrual cycle________________________
Contact lenses____________________________ Epilepsy/fainting spells__________________________________
Mental disorders__________________________ Other________________________________________________
Daily medication and schedule____________________________________________________________________
I, _______________________(parent or guardian) understand that ________________________ (participant) must
be in compliance with C.C. Company of Illinois, Inc. regulations to perform/participate in the above mentioned
event. I also understand that any violation of this agreement may result in the removal/disqualification of the
team(s) or individuals involved.
Regulations
Parent/Guardian/Advisor/Coach/Director: The following release must be signed by each participant’s parent or
guardian.
A.
I understand that by taking part in the above mentioned C.C. Company of Illinois, Inc. event, there is the
possibility of injury or sickness to my daughter/son. I do hereby grant permission to hospital staff
members to administer immediate treatment to my child should he/she be injured.
B.
I understand and agreed that by signing this waiver and acknowledgment, I am releasing and discharging
C.C. Company of Illinois, Inc., the owners of the United Center, Chicago Professional Sports Limited
Partnership (the “Bulls”), Chicago Bulls Limited Partnership, CBLS Corp., and all of their respective
officers, agents, directors, employees, partners, shareholders, and representatives, and any and all of their
respective subsidiaries or affiliates, the event facility, other individuals involved in the event and the
official hotels from any and all claims, demands, or causes of action that hereinafter may accrue against
them and that in any way may arise as a result of my daughter’s/son’s participation in the above mentioned
event, regardless of whether such claims, demands, or causes of action are based on fault or negligence or
not.
C.
I give C.C. Company of Illinois, Inc. the right and permission to film, photograph, or video tape my
daughter/son for any reproductions associated or in any way connected with said televised or filmed event;
in particular, reproduction for use in any form of advertisement for C.C. Company of Illinois, Inc.
promotional purposes.
Insurance Carrier__________________________Policy Number_______________Phone Number_____________
Parent’s Name__________________________ Address________________________________________________
City___________________________________ State_______________________ Zip_______________________
Home Telephone_________________________ Work Telephone________________________________________
Parent’s Signature_____________________________________________ Date_____________________________