Registration

This is a tumbling clinic you will NOT want to miss! Registration will be limited in each session so reserve you spot today. 10AM-NOON Standing Tucks/Layouts/Twisting NOON-2PM Back Handsprings 230PM-430PM Front/Back Tucks
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email: (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info
(Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
TREATMENT / PUBLICITY / LIABILITY RELEASE

I authorize any licensed physician to render necessary emergency treatment for injury or serious illness when neither parent can be reached and will assume all financial responsibility for such treatment. I acknowledge that the above participant must have his/her own Medical Insurance. I understand that cheerleading camps, competitions, practices, clinics and gymnastics equipment have an inherent danger in participation and that in spite of all precautions and accident preventatives, injuries do occur. I further acknowledge that each participant has elected to participate in Sonic Elite All Stars at their own risk and will not hold Sonic Elite All Stars employees and/or instructors liable for any and all injuries that may occur while participating in any activity or event that Sonic Elite All Stars may hold.
Warning: ANY ACTIVITY WHICH INVOLVES JUMPING, SPINNING OR SPINNING MOTIONS CAN RESULT IN POSSIBLE INJURY. I, UNDERSIGNED, AGREE THAT CHEERLEADING IS ONE OF THESE ACTIVITIES AND UNDERSTAND THAT BY ENROLLING MY CHILD, I DO SO AT HIS/HER OWN RISK, ACCEPTING FULL RESPONSIBILITY.
The undersigned does hereby grant Sonic Elite All Stars and its successors, the unrestricted right to use the undersigned's name, likeness, or appearance on any Cheerleading or Program camp posters, calendars, photographs, try-out flyers, video material, film material, computer software, computer hardware, electronic on-line services, or other similar promotional material in any form, content or medium to promote or market Sonic Elite All Stars.
The undersigned does hereby expressly release and waive any demand, action, claim, license, royalty, or other form of payment the undersigned, and his or her agents, representatives or assigns, may have based on claims of the undersigned as to rights of privacy, publicity, notoriety or any other rights arising out of or relating to any use by Sonic Elite All stars. of the undersigned's name, likeness or appearance.

I've read the above and agree.
 
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Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
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