Registration
Please fill out all the questions for evaluation at Top Gun Arizona. Evaluations will be on 1/14 at 11:00am
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
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- denotes required fields
Family Information
First Name:
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Last Name:
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Type
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Father
Grandmother
Mother
Parent
Self
Home Phone:
Cell #:
Work #:
Email:
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(Emails are kept confidential)
Address:
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City:
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State:
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AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NC
ND
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
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Emergency Contact Info (Not Contact #1 or #2)
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Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Birth Date:
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(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Student Gender:
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Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Student Gender:
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Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Questions/Options:
Athlete Name
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Parent Name
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Parents Email Address
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Parents Telephone Number
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Athletes Date of Birth
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Have you done competitive cheer before?
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Yes
No
What is the highest level you have competed at?
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What position are you in?
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Highest tumbling skill you can complete without a spot?
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Additional Information:
RELEASE &WAIVER OF LIABILITY, ASSUMPTION OF RISK
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In consideration of participating in the PROGRAMS OFFERED BY MALONE ATHLETICS, LLC. DBA TOP GUN AZ represent that I understand the nature of this Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the activity. I fully understand that this activity involves risks of serious bodily injury, including permanent disability, paralysis, and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the "releases" named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, cost, and damages I incur as a result of my participation in the Activity.
I hereby release, discharge, and covenant not to sue MALONE ATHLETICS, LLC. dba TOP GUN AZ, , their respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "RELEASEES" herein) from all liability, claims, demands, losses, or damages, on my account caused or alleged to be caused in whole or in part by the negligence of the "releases" or otherwise, including negligent rescue operations and future agree that if. Despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releases, I will indemnify, save, and hold harmless each of the Releases from any loss, liability, damage, or cost, which any may incur as the result of such claim.
I have read the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK. AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.
AND I, the minor's parent and/or legal guardian, understand the nature of the above-referenced activities and the Minor's experience and capabilities and believe the minor to be qualified to participate in such activity. I hereby release, discharge, covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releases from all liability, claims, demands, losses or damages on the minor's account caused or alleged to have been caused in whole or in part by the negligence of the Releases or otherwise, including negligent rescue operations, and further agree that if despite this release, I, the minor, or anyone on the minor's behalf makes a claim against any of the above Releases, I WILL INDEMNIFY. SAVE AND HOLD HARMLESS each of the Releasees from any litigation expenses, attorney fees, loss liability, damage, or cost any Release may incur as the result of any such claim.
I've read the above and agree.
ASSUMPTION OF THE RISK AND WAIVER OF LIABILITY Relating to
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The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.
Malone Athletics, LLC, d/b/a Top Gun AZ ("TGAZ") has put in place preventative measures to reduce the spread of COVID-19. However, cheerleading and tumbling (the "Activity") inherently involve close physical proximity between participants and also involve frequent person-to-person contact between participants and/or between participants and coaches, and therefore TGAZ cannot guarantee that you or your child(ren) will not become infected with COVID-19 while participating in the Activity. Further, attending TGAZ could increase your risk and your child(ren)'s risk of contracting COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending TGAZ, and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at TGAZ may result from the actions, omissions, or negligence of myself and others, including, but not limited to, TGAZ, its employees, independent contractors, coaches, volunteers, and program participants and their families.
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind ("Claims") that I or my child(ren) may experience or incur in connection with my child(ren)'s attendance at TGAZ or participation in the Activity. On my behalf, and on behalf of my child(ren), I hereby release, covenant not to sue, discharge, and hold harmless TGAZ, its employees, independent contractors, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of TGAZ, its employees, independent contractors, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any TGAZ program, class, or instruction of the Activity.
I've read the above and agree.
PAYMENT POLICY FOR ALL STARS
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All athletes and parents understand that:
1) I (Parent and/ or Athlete) assume full responsibility for all costs incurred as a member of Top Gun AZ including but not limited to: gym registration, monthly tuition, practice apparel, uniforms, competition and travel expenses, or any other items, reservations, or services purchased or rendered to me and the payment in full of those items regardless of any circumstances that may arise such as but not limited to dismissal from the team or disbandment of the team.
2) Monthly tuition payments will be made on the 1st of every month. Competition monthly payments will be made on the 15th of every month.
3) The monthly payment for tuition rate is due from February 2023 through May 2023.
4) Tuition does not fluctuate based on the number or duration of practices in any month.
5) Tuition pays for training. It does not pay for the right to perform.
6) Vacations or time off will not be prorated. Please make note that all Top Gun AZ vacations have already been prorated into the monthly fee.
7) All payment due dates must be met.
8) A $25.00 late fee will be assessed if a payment is past due and charged to the card or banking information we have on file.
9) The Top Gun AZ Auto Debit Authorization form must be completed at the time of registration.
10) Any payment attempts resulting in an NSF (non-sufficient funds), returned checks and electronic debits, etc. will incur a $35 service charge. It is your responsibility to update your information with us if your information changes (E.g. bank account number, CC number, exp. dates) will be charged to the card or banking information we have on file
11) An athlete's account must be current and in good standing to participate in practices/competitions / special events.
12) Top Gun AZ reserves the right to remove an athlete from their team at any time for failure to keep up with financial obligations.
13) Top Gun AZ reserves the right to cancel any travel arrangements made that are not paid in full by the payment due dates.
14) Any monies received from an athlete/parent will be applied first to any overdue tuition/fees.
15) All tuition/fees must be current before an athlete may collect any clothing/uniform or other retail items.
16) If an athlete chooses to leave or if asked to leave Top Gun AZ for any reason before the season is over, all funds that have been paid are non-refundable. The remaining funds for the contract are due and will be collected. There is a $500.00 cancellation contract fee which will be charged to the banking information or card we have on file.
17) Top Gun AZ reserves the right to turn over all delinquent accounts to a collection agency and the parent/athlete will be responsible for all additional costs incurred, for any reasons resulting in court action being taken. The signee is responsible for any fees associated with the claim that may arise until settled.
18) I have read and understood all contractual agreements in the Top Gun AZ Financial Packet.
I've read the above and agree.
Enter your Full Name:
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Other Questions/Comments:
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