Boca Extreme Cheer Company Online Registration

Registration

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Welcome to Boca Extreme Cheer Company! Please complete the following registration form.

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Home Phone

Work #

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Acknowledgement, Authorization & Release

I authorize Boca Extreme Cheer Company, LLC and its representatives to consent to medical treatment for me or my child when I cannot be reached to so consent. I also give Boca Extreme Cheer Company, LLC and its representatives consent to administer the necessary emergency care to stabilize and/or improve the current injury or condition that I or my child may have sustained during activities related to Boca Extreme Cheer Company, LLC instruction, practices, or performances. No prior determination of life threatening emergency or danger of serious permanent injury resulting from treatment need be made under this authorization. Exceptions to this authorization are as follows:
I am fully aware that any activity involving motion, height, or athletic activities creates the possibility of serious injury, and I further agree to hold Boca Extreme Cheer Company, LLC and its staff, officers, or representatives harmless for any injury or resulting expense(s). I release and discharge all rights and claims against Boca Extreme Cheer Company, LLC and its parties. Boca Extreme Cheer Company, LLC strives to provide a maximum in safety procedures and guidelines, and cannot assume responsibility for any accidents, injury, or illness that may occur. Boca Extreme Cheer Company, LLC highly recommends that all athletes have their own health insurance coverage to help cover costs of any injury/illness.
I authorize Boca Extreme Cheer Company, LLC to use photographs, video, and/or other likenesses of myself or my child for use in its promotional materials or sales and waive any rights of compensation or ownership thereto. I have read, understand, and agree to this acknowledgement of policies, risk and waiver of liability and I voluntarily affix my name in agreement.

I've read the above and agree.

Gym Policies and Procedures

All athletes must have an updated registration form on file. Athletes are expected to be on time and may be turned away from class if they are 10-15 minutes late. It's hot! Please bring water. Water/Snacks are available for purchase. Chewing Gum is not allowed in the gym. Athletes should be picked up promptly after class unless other arrangements have been made.

I've read the above and agree.

Credit Card Payment Policies

We understand that credit cards are often lost, stolen, or expire and sometimes a charge may be declined or have insufficient funds; however, if we receive a credit card error for any reason, you will be charged a $3 administration fee. It is your responsibility to notify us of any changes to your credit card information. Boca Extreme Cheer Company accepts Visa, MasterCard and American Express.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip