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TINY'S | PREP REGISTRATION PACKET

ATHLETE'S INFORMATION:

PARENT/GUARDIAN EMERGENCY INFORMATION:

 

 

INSURANCE:

MEDICAL INFORMATION:

I,                                                       , being 18 years of age or older, do for myself or on behalf of my child participant, if said is a minor, do

 

hereby release, forever discharge and agree to hold harmless Ultimate Cheer and Dance Inc., their owners, directors, coaches and any employees thereof from any and all liabilities, claims, or demands of personal injury, sickness, or death as well as property damage and expenses of any nature whatsoever which may be incurred while in the facilities or on any trips due to competitions or performances.

Furthermore, I fully understand the risks associated with the usage of any and all equipment, class participation, and risks involved during performances and competitions. I (or on behalf of my minor child participant) hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participation in classes, at performances and any all competitions. The undersigned further hereby agrees to hold Ultimate Cheer and Dance Inc. harmless, as a result of the negligent and willful or intentional acts of said participant, including expenses incurred attendant hereto.

I hereby grant permission to any licensed hospital and/or doctor to administer immediate medical treatment as deemed necessary to my child should they be injured at any time during summer camp practice, competitions, trips, and all other events related to the team. I understand that I am responsible for payment of expenses incurred relating to my child’s participation in these events.

I understand that Ultimate Cheer and Dance Inc. staff at all times provides the maximum safety procedures and guidelines, and therefore cannot assume responsibility from any accidents or injuries that may occur. I understand that there is a risk or personal injury associated with performing this type of activity and assume risk of such injury. I have read and understood this release and voluntarily sign this document and participate in this activity or allow my son/daughter to participate in this activity and hereby agree to this release.

Rules and Regulations Contract

Ultimate reserves the right to add, remove or change any of this material at any time.

I hereby understand that each time “Ultimate, Ultimate AllStars” is mentioned throughout this contract it is meant to be all-inclusive of Ultimate Cheer & Dance Inc (577 NW Interpark Pl, Port St Lucie, FL 34986), and its employees/volunteers. This contract is to be initialed and signed by each athlete and their parent. This contract is valid May 2021 through April 2022. Please read thoroughly with your child and initial and sign the bottom of this form.

GENERAL

 

  1. I agree to help keep the gym clean by not bringing food or gum/candy into the practice areas, and by disposing of any trash in the appropriate trash receptacles. GUM is strictly forbidden in the FACILITY.

  2. I agree that all cell phones must be put on silent or vibrate mode when I am inside the facility.

  3. I agree that ULTIMATE is not responsible for any personal items lost or stolen and should therefore refrain from bringing jewelry or other items that I value into the facility.

  4. I agree that all decisions made by ULTIMATE are in the best interest of the program and that any differences I may have will only be discussed with the ULTIMATE staff at a scheduled time.

  5. I will refrain from gossiping or “talking trash” about any participant, parent, staff, etc., or other programs, as I understand that it can lead to personal conflicts and is therefore not conducive to the success of this program. Such talk may lead to dismissal from the program.

  6. Any person or athlete fighting will be asked to leave immediately and may result in being expelled from the gym.

  7. I UNDERSTAND THAT ANY USAGE OF LOGOS OR THE NAME ULTIMATE OR TEAM NAMES AFFILIATED WITH ULTIMATE MUST BE APPROVED BY ULTIMATE.

HEALTH

  1. I agree to provide ULTIMATE with a list of any/all medications that I am currently taking.

  2. I agree to notify ULTIMATE and the coaching staff of any and all medical conditions, which may limit or prevent my ability to participate in any Ultimate All-Stars practice or event.

  3. I agree to provide valid written documentation from a doctor explaining the reason(s) and the duration for which I am limited or unable to participate in any Ultimate Cheer and Dance All-Stars activities/events.

  4. I will report any and all injuries (small and big) to my coaches immediately.

FINANCIAL OBLIGATION

 

  1. I realize that my monthly tuition is due by the first of each month and that I will not be prorated for any vacations or time off. If my payments are made after that due dates, I will be charged a $20 late fee. There will also be a $25 fee for all returned checks and possibly legal fees to collect past due balances. 

  2. If I schedule a private and fail to show up, I will be charged a no-show fee of $10. 

  3. I assume full responsibility for the cost of the Ultimate Cheer and Dance All-Stars competitive uniforms, practice attire, hot pants/bloomers, shoes, bow (if applicable), travel expenses, and /or any other items purchased for me, and the payment in full of those items upon receipt of the items regardless of any circumstances that may arise such as dismissal from the team, or disbandment of the team. In addition to the above list, I also make myself responsible for the annual administrative fee, monthly tuition and competition fees for the entire cheer/dance season, regardless of injury, dismissal or quitting, etc. 

  4. I realize that if I choose to leave the team or if I am asked to leave the team for any reason before the season is over, any and all monies that have been deposited for me are completely non-refundable/non-transferable. 

  5. I realize that if I plan to be on more than one team, I must be financially up-to-date with my ULTIMATE account. 

  6. If I have a balance, and am no longer with Ultimate Cheer and Dance for any reason, I am still responsible to pay my balance immediately, which includes the rest of the competitive year. 

  7. I agree to meet all financial obligations that I undertake, including but not limited to, travel expenses, camps/clinics, competition fees, choreography fees, etc. If you miss choreography, camp, clinics, competitions which are all mandatory, you are still responsible for payment. 

  8. Choreography and Competition fees are due on the date given for each team. If payment is not received, I will not be able to participate. In addition, if over half the team is not current on their fees or for any reason the Ultimate owners decide to make a change, I understand that Ultimate reserves the right to cancel or change the choreography or competition(s) dates. 

  9. NO REFUNDS for services, uniforms, competitions, choreography etc. NO Refunds!

I have read and understand all policies and tuition and fee schedules. I Understand that if my tuition is not paid by priority due date, I may be charged a $25 late fee and/or may forfeit my spot on the team. THERE ARE NO PRORATED REFUNDS OR CREDITS FOR MISSED CLASSES. All vacations and time-off have already been factored into the monthly fee.

I am fully aware that competitive cheer and dance is a large financial responsibility and I will commit to Ultimate Cheer and Dance All-Stars as per the financial requirements of a team member. Upon signing this agreement, I realize I am fully responsible for all monies involving cheer and dance from May 2021 – April 2022; regardless of dismissal, injury, etc. I will pay these monies on or before the due date. I realize that if I choose to leave the team or if I am dismissed from the team before the season is over, any and all monies that have been deposited for me are completely non-refundable. In the event you do not fulfill your financial obligation for the upcoming cheer and dance season from May 2021-April 2022. You will be charged a $500 fee for not completing the entire season and contract.

 

 I have read and understand every rule. I agree to support Ultimate Allstars and will respect any decisions made by staff/management. I understand my responsibility to the gym and others. I agree to everything written in these rules.

METHOD OF PAYMENT

 

AUTOMATIC MONTHLY WITHDRAWAL FROM CREDIT CARD.
(MUS FILL OUT ELECTRONIC FUNDS TRANSFER FORM.)

NOTE: EVERYONE MUST HAVE CREDIT CARD ON FILE

 

TO MAKE A PAYMENT:

 

 

  1. FILL OUT AN ELECTRONIC FUNDS TRANSFER FORM AND HAVE FEES AUTOMATICALLY WITHDRAWN MONTHLY. MUST BE DONE FOR MONTHLY TUITION.

    1. Payments may be made by Cash, Check or Cashapp. If you choose to use a credit card there will be a 3% charging​ fee.

    2. If payment is NOT made by the 10th of the month your credit card will automatically be charged with fee on the 11th.

  2. CASHapp - $UltimateAllstars

  3. PLACE PAYMENT (CHECKS ONLY) IN TUITION BOX FOR OTHER PAYMENTS NOT FOR TUITION.

  4. GIVE PAYMENT (CHECKS, CASH OR CREDIT CARD) TO SHERRY, BRITTANY, GYM MANAGER, OR OFFICE MANAGER. IF YOU PAY WITH CASH, PLEASE ASK FOR A RECEIPT.

  5. MAIL-IN YOUR PAYMENT TO: ULTIMATE ALLSTARS 577 NW INTERPARK PLACE PORT ST. LUCIE, FL 34986

BETWEEN 1ST & 10TH  OF EACH MONTH TO BE CHARGED

I UNDERSTAND THAT I WILL BE CHARGED THE MONTHLY FEE REQUIRED TO HAVE MY CHILD PARTICIPATE AT ULTIMATE ALLSTARS. I UNDERSTAND ALL MONIES PAID TO ULTIMATE ALLSTARS ARE NON-REFUNDABLE.

 

I UNDERSTAND THAT MY CREDIT CARD WILL BE CHARGED WITHOUT MY PERMISSION IF PAYMENT HAS NOT BEEN RECEIVED ON TIME FOR TUITION, CHOREOGRAPHY FEE, COMPETITION FEE, UNIFORM FEE, SUMMER CAMP FEE, CLINICS AND ANY OTHER FEES RELATED TO MY CHILD.

Please look over form for missed information.

Your registration packet has been SUCCESSFULLY submitted.  

Print and add Signature in the box below. By submitting the application I have fully read this registration form and will honor the agreement.

CHEER TEAMS:

Please select the teams your athlete is on: