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info@evolveallstars.com.au
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Home
About Evolve
How to join
Our Coaches
Our Facility
Our Policies
CheerAbility
Customer Portal
FAQs
Contact
Blog
2022 Competition Athlete Registration Form
1
Parent/Guardian Info
2
Medical & Emergency Contacts
3
Athlete Info
4
Contract
Parent/Guardian Information
Parent/Guardian Name
*
First
Last
Email
*
Phone
*
Address
*
Street Address
Suburb
State
Postcode
Family Medical & Emergency Contact Information
Medical Practitioner Name
Who is your medical practitioner in the event of a medical emergency that we can consult with if there is a need to convey medical information to emergency services?
Medical Practitioner Phone number:
What is your Medicare number?
Do you have private medical insurance?
YES
NO
Do you have Ambulance Cover?
*
Evolve All Stars do not supply ambulance cover. If injuries occur during training, the coach in charge will assess the athlete that is injured and the appropriate course of action will be taken. Parents will be contacted as appropriate. If deemed necessary, Evolve All Stars reserves the right to call an ambulance to ensure the safety and appropriate injury management of our athletes. Parents will be notified immediately if this occurs. Any associated charges with regard to an ambulance will be the responsibility of the athlete/parent.
YES
NO
Alternative Emergency Contact
*
First
Last
Emergency Contact Phone Number
*
Athlete Information
Athlete Name
*
First
Last
Date of Birth
*
DD slash MM slash YYYY
School
Year Level (Grade) 2022
e.g. prep
Do you have any medical conditions and are you taking any medications?
*
YES
NO
If yes please list medical conditions below:
Do you suffer from any allergies including food allergies, and if so are there any foods that may cause you to suffer an adverse medical reaction?
*
YES
NO
If yes please list allergies below:
Athlete's address same as above parent/guardian address?
*
YES
NO
If No, Athlete Address
Street Address
Suburb
State
Postcode
Are you a returning or new Evolve Athlete?
*
Returning Athlete
New Evolve Athlete
Cheered before
YES
NO
Most recent cheerleading level
select level
Novice
1
2
3
4
5
6
Adult Non-Tumble
Team & Monthly Tuition
*
Please select the team that you are enrolling into for 2022.
Please select your team
Tiny Audacity - $59 per month
Tiny Ambition - $79 per month
Mini Tenacity - $119 per month
Mini Relentless - $139 per month
Youth Exuberance - $69 per month
Youth Aspire - $159 per month
Junior Ascendancy - $139 per month
Junior Momentum - $119 per month
Junior Inspire - $159 per month
Open Vivacity - $139 per month
Open Euphoria - $179 per month
Adult Influence - $119 per month
Contract with Evolve All Stars
*
I understand that by signing this contract I am committing myself/my child to
attend classes
and/or competitions for the entire year.
*
*
*
I hereby authorise Evolve All Stars to use me/my child's name, photo and video image in all club materials Evolve All Stars see fit, including website, social media and print advertisements.
*
*
*
I agree to the
Injury Management Policy
and I understand that Evolve All Stars does not supply ambulance cover.
*
*
*
I have read and understood the
Code of Conduct
and I / my child agree to uphold the standards contained within.
*
*
*
I have read the
Tuition Agreement
and understand that this contract is legally binding and I am committed to full payment of the scheduled payments outlined by Evolve All Stars. I understand late payments may incur late fees.
*
*
*
I understand
eight (8) weeks written notice
must be given to Evolve All Stars should I wish to withdraw myself/ my child from classes.
*
*
*
I agree to Evolve All Stars sharing the minimum necessary information with the provider when registering me/my child for athlete membership or competitions.
*
Parent/Guardian Name
*
First
Last
Signature
*
Date
*
DD slash MM slash YYYY
Phone
This field is for validation purposes and should be left unchanged.
