Child Name: ___________________________________________ Allergies: ___________________________________________ Contact/Parents Name: ___________________________________________ Phone(1):___________________________________ Phone(2):___________________________________ ACKNOWLEDGEMENT OF RISK & WAIVER OF LIABILITY I, the undersigned parent or guardian, do hereby consent to the above named persons participation in an AmeriCheer Instructional Program. I recognize that potentially severe injuries, including permanent paralysis or death can occur in any activity involving height or motion, including gymnastics and cheerleading. I also realize my child will be involved in performing a number of these gymnastics moves and cheer-leading stunts, jumps, mounts, etc. and may also be involved with the use of several training devices. I understand it is the express intent of AmeriCheer, to provide for the safety and protection of my child and in consideration for allowing my child to use these facilities and to participate. I hereby release AmeriCheer, its officers, employees, teachers and coaches from liability, all damages and injuries suffered by my child while under the instruction, supervision or control of AmeriCheer or its instructors. I hereby agree to individually provide for the possible future medical expenses which may be incurred as a result of any injury sustained at or performing for, AmeriCheer. I further release AmeriCheer and its representatives from any claims present or future as a result of any injury sustained by my child under the supervision of AmeriCheer. This acknowledgement of risk and waiver of liability, having been thoroughly read and understood completely is signed voluntarily as to its content and intent. APPEARANCE CLAUSE I understand that AmeriCheer/AmeriDance produces promotional material about their programs. I understand as a participant, I may be included in videotapes or photographs taken during the event. I hereby grant AmeriCheer/AmeriDance, its successors, assignees, licenses, sponsors, television networks, and all other commercial exhibitors, the exclusive right to photograph or videotape participants and further utilize the participant’s name, face, likeness, voice and appearance as a part of this program, and in advertising and promoting the program, without reservation or limitation. In granting this license, I understand that AmeriCheer/ AmeriDance is under no obligation to exercise any of its rights, licenses, and privilege herein granted to the participant.
Signature: ________________________________________
Date:____________________
Don’t forget to check out all that AmeriCheer has to offer! -
Classes Open Gyms Team Training Clinics Camps Birthday Parties Scout/Group programs
AMERICHEER SUMMER CAMPS
2016 Cheer Camps Dance Camps Tumble Camps AmeriCheer 20 College View Rd WesterVille, OH 43081 Phone: 614-898-1000 ext 21 Fax: 614-898-0404 E-mail:
[email protected]
20 College View Rd WesterVille, OH 43081 614-898-1000
Register today for Summer Day Camps at AmeriCheer! Join us for camp at AmeriCheer's National Training Facility!
Summer Camp Registration Form Name
Address
Let’s Cheer! Camp: Ready, set, Cheer! AmeriCheer is America’s leader in spirit! Learn how to perfect your motions and jumps. Cheer along with us with sidelines and cheers. We will learn a cheer dance to perform at the end of camp as well. Let’s Cheer! Camp will have you yelling for more! K-4th grade: June 22nd-24th 1:00-4:00 $55 July 27th-29th 1:00-4:00 $55 5th-7th grade: July 13th-15th 1:00-4:00 $55
Phone
Email
Fill out per camp you are registering for: 1.) Camp Name______________________________________
Groovin’ and Movin’ Camp: Get your groove on at our Groovin’ and Movin’ Camp! We will learn fun dances, dance techniques, and have an overall dance party! Parents we will put on a Dance Party Show for you at the end of camp.
Date/Times :_______________
Cost:___________
2.) Camp Name______________________________________ Date/Times :_______________
K-4th grade: June 27th-29th 1:00-4:00 $55 5th-7th grade: Aug. 8th-10th 1:00-4:00 $55
Cost:___________
3.) Camp Name______________________________________ Date/Times :_______________
TumbleMania! Camp: Our Tumble Mania Camps are for the beginner through advanced. Our camps will focus on the beginning skills of cartwheels, rounds offs and walkovers through the back handsprings and move onto tucks in our advance camps. Join us to tumble, tumble and tumble! Beginners: July 13th-15th 11:00-1:00 $35 Beginners: August 8th-10th 11:00-1:00 $35 Backhandspring: June 27-29th 11:00-1:00 $35 Backhandspring: July 27th-29th 11:00-1:00 $35
**Registrations and Payments should be delivered to AmeriCheer prior to camp. If it is one week prior to camp please call to see if there are openings. **Minimum of 5 campers required per camp
20 CollegeView Rd Westerville, OH 43081
Phone: 614-898-1000
Cost:___________
Subtotal:________________ TOTAL: ________________
Method of Payment: Check #____________
Cash
Card
Credit Card #
Exp. date
Billing zip Code
Sec code
Signature
Fax: 614-898-0404
[email protected]
