All-Star Cheerleading, Inc. REGIONAL COMPETITIONS

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To register by mail, you may download our registration form by clicking here
OR You may register on-line by completing the form below

Please fill out all contact information completely!

Section 1:

Team Name:
City / State to be announced from:

Section 2:

Type of registrations (Check all that apply)

Cheer Squad
Dance Team
Stunt Group (all girl)

Co Ed Partner Stunt Team
Individual/Duo/Trio Cheer
Individual/Duo/Trio Dance

Section 3: EVENT & PER PARTICIPANT FEE SCHEDULE (select only one):	Early	On Time	Late
Spring Floor
Sun. Nov. 7 2010 The Fall Frenzie	$15.00 (Oct. 4)	$20.00 (Oct. 18)	$25.00 (Oct. 25)
Sun. Dec. 12 2010 Spirit Spectacular	$40.00 (Nov. 8)	$45.00 (Nov. 22)	$50.00 (Nov. 29)
Sun. Jan. 16 2011 Chill Challenge	$40.00 (Dec. 13)	$45.00 (Dec. 27)	$50.00 (Jan. 3)
Sun. Feb. 13 2011 Winter Classic	$40.00 (Jan. 10)	$45.00 (Jan. 24)	$50.00 (Jan. 31)
Sun. Feb. 20 2011 Three Rivers Throw Down	$40.00 (Jan. 17)	$45.00 (Jan. 31)	$50.00 (Feb. 7)
Sun. Mar. 6 2011 March Madness	$40.00 (Jan. 31)	$45.00 (Feb. 14)	$50.00 (Feb. 21)
Sun. Mar. 20 2011 Spring Fling	$40.00 (Feb. 14)	$45.00 (Feb. 28)	$50.00 (Mar. 7)
Spring Floor - All Inclusive
Sun. Apr. 10 2011 Best of the Midwest - National Championship	$75.00 (Feb. 28)	$80.00 (Mar. 14)	$85.00 (Mar. 21)

Section 4: Contact Information

MAIN CONTACT

Head Coach
Fax # (do NOT leave blank)
Daytime Phone #
Evening Phone #
E-mail Address
Home Mailing Address
City
State
Zip
SECONDARY CONTACT
Asst. Coach
Fax #
Daytime Phone #
Evening Phone #
E-mail Address

Section 5: Contact Information

GYM/SCHOOL/ORGANIZATION

Organization Name
Mailing Address
City
State	Zip
Phone #
E-mail Address

OTHER FEES:

CROSSOVER FEES for all events EXCEPT Best of the Midwest:
The fee for each participant that is on 2 or more teams is half of the registration fee for which you qualify (based on your registration date). They will pay full price for the first team they are on and then the cross over fee for each additional team. (EXAMPLE: If you have a participant that is on 2 teams and you are attending the Spirit Spectacular and your registration is received on or before the EARLY deadline that participant pays $35 for the first team and $17.50 for each additional team)

CROSSOVER FEES for Best of the Midwest (ONLY):
The crossover fee for each participant is as follows:
If you register by the EARLY deadline the fee is $15 for each additional team
If you register by the ON-TIME deadline the fee is $20 for each additional team
If you register by the LATE deadline the fee is $25 for each additional team
(EXAMPLE: If you have a participant that is on 2 teams and your registration is received on or before the EARLY deadline that participant pays $50 for the first team and $15.00 for each additional team)

Solo & Small Group Events
Individual Competition $20.00
Duo Competition $30.00 (total)
Trio Competition $45.00 (total)
Stunt Group $15.00 (per competitor)

Section 6: Calculate your Registration Fee

Calculate your Registration Fee Due:

Team Fees (complete attached participant breakdown)

# of First Teamers @ $ (rate) =	$
# of Cross Overs @ $ (rate) =	$

Solo & Small Group Events (complete attached participant breakdown)

# of Individuals @ $ 20.00 =	$
# of Duo Groups @ $ 30.00 =	$
# of Trio Groups @ $ 45.00 =	$
# of Stunt Groups @ $ 15.00 =	$
TOTAL DUE =	$

TEAM REGISTRATION FORM

Team Name	Registration Code	Age Division	USASF Level	Total # On Team	1st Teamers	Cross Overs
1:
2:
3:
4:
5:
Totals:

INDIVIDUAL/SPECIALTY GROUP REGISTRATION FORM

Enter Individual or Group Member Names	Registration Code	Stunting or Tumbling Level (USASF) or Dance team category (pom, funk, jazz, lyrical)	Registration Fee Due
1:
2:
3:
4:
5:

Registration Fees:
Individuals $20.00
Groups $15.00 per participant
* Same registration fee applies no matter what date you register

Total Entry Fee Due
(Individual/Group Registration) $

Credit Card Payment Form

Due to increased credit card security � we ask that you complete the following to make a purchase by credit card. For your protection and the protection of your account, the information you provide us must match the information your credit card issuer has on file.

Name as it appears on Credit Card:
Credit Card Account #:
Expiration Date:	CVV Code: (What is this?)
Billing Address on Credit Card:
City, State Zip Code:	,
Amount Authorized to Charge:
Would you like us to keep this CC information on file for future use?	Yes No

Please Press the Submit Button only once.
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