Registration

The registration form is a 3 step process. You must complete all 3 steps to register!

Fields marked with an asterisk (*) are required

SEASON 2020 UPDATE - PLEASE READ BEFORE REGISTERING

Good evening cheer families! I wanted to take this time to communicate with you updates for the 2020 cheer season. Due the COVID-19 pandemic, there have been daily changes to many things in our lives. Unfortunately, cheer is also now one of them. I want to assure you all that these decisions are not of the CWCA board, and we wish we had different news to share. I also want to assure you that we are doing our best and will work hard with whatever the fall season may bring us. Tonight I am going to share with you facts of what we actually know. I will continue to be honest with you and share any information that I receive. However, please know that there are still many unknowns. Facts: -there will be NO stunting allowed for the 2020 cheer season (no contact allowed, no protective wear permitted) -there will be NO cheer competition during the 2020 season -registration deadline extended to June 30th -Do NOT send in any payment for registration or uniforms -Sneakervilla does plan on opening when moved to “yellow”- I would NOT go in yet to place any orders (we will work things out if your child does not have certain components when that time comes-I would be more concerned if you spent money to purchase something that you may not be able to use this season) -if you already sent in payment, it is being held until a later date (we will let you know the date once we know if we can proceed with the cheer season) -no checks are being deposited at this point (this is all to decrease the amount of refunds needed if the season is cancelled) -you will receive a full refund if we are not approved to have a cheer season -if you plan on registering your child for cheerleading, I would encourage you to do that before the deadline -click on the cash or check option for payment and hold payment (do not send)- it is still important for us to know our exact number of cheerleaders as we may need to make changes and we will need to know the number of cheerleaders that we are working with! Now the unknowns: -if the 2020 cheer season will be feasible and permitted -we are waiting for guidance from PIAA, state and school directives as to how and when we can proceed further -what the 2020 cheer season guidelines will be, if approved to have a season -what opportunities/options/alternatives will be permitted I know this is a lot of information and for some, another disappointment. Please know we are all in this together. We will do what we can for our cheerleaders and families! Stay safe, Stay healthy and as always please let me know if you have any questions! Go Scouts! Kristi, Christina, Amy and Cinnomin

Cost*

Please Note

The registration fee only covers 50% of the cost of participation. We rely upon fundraising to cover the remaining 50%. FOR THE 2020 SEASON, EACH FAMILY MUST SELL 1 Box of Hershey Candy Bars for $60.00 or choose the BUY-OUT Option for $40.00. If choosing the buy-out option payment is due now. The candy will be handed out at practice.

BUY OUT OPTION

Additional Fundraising Info

We are offering additional fundraising opportunities. After the required box of candy (or buy-out option if purchased), any additional boxes of candy sold will earn a family credit of $28. There is a 4 box limit. This credit will be refunded to you at the conclusion of the fundraiser in the form of a check. Select below how many extra boxes you would like to sell.

Extra Candy

Payment Method*

Cash
Check
PayPal

Total

$0.00

Payment Info

You have chosen PayPal as your payment method. Once you complete this entire registration form, you will forwarded to PayPal to enter your payment information and finalize your payment.

Cheerleader Info

Name*

First Last

Date of Birth*

Grade at start of School Year in Fall 2020*

School attending in Fall 2020*

Address*

Street Address Address Line 2 City ZIP Code

Home Phone*

Shirt Size*

Emergency Contact Info

Mothers Name*

First Last

Mothers Contact Phone*

Mothers Email*

Fathers Name*

First Last

Fathers Contact Phone

Fathers Email*

Alternative Contact Name*

Alternative Contact Phone*

Alternative Contact Email*

Medical Info

Indicate specific medical allergies, chronic illnesses, or other medical conditions that coaches and medical personnel should be aware of:

Is your child allergic to any drugs? If so, what?

Does your child have any other allergies?

Does your child have or use any of the following? Check all that apply.

Asthma
Diabetes
Epilepsy
Epi-pen
Inhaler
Glasses
Contacts
Hearing Aids

Is your child on any medications? If so, what?

Does your child have any disabilities and/or special needs that we may need to be aware of?

Any additional medical information that may be helpful in a medical situation?

Parent or Guardian Authorization

In case of emergency - if family physician cannot be reached - I hereby authorize my child to be treated by Certified Emergency Personnel. (i.e. EMT/First Responder/E.R. Physician)

Physicians Name*

Physicians Phone*

Volunteer Opportunities

Conrad Weiser Little Scouts Cheerleading Association believes that the more families participate and volunteer the more fulfilling the experience is for their child. Volunteers are an essential part of our organization. Please take the time to support CWLSCA by volunteering your time! Place an X next to the volunteer opportunity that would be best suited for you and your family.

Volunteer

Please choose one or more

1 Coach
2 Assistant Coach
3 Homecoming - assist with planning and running the table at homecoming
4 Spirit Wear - help run a table at a game
5 Banquet - help with set up and break down the day of

PARENT / GUARDIAN REQUIRED AUTHORIZATION -- PLEASE "SIGN" BELOW

I, the undersigned, consent to allow my child to cheer with the Conrad Weiser Little Scouts Cheerleading Association. The CWLSCA is hereby released from any responsibility from any claim for damages, which my child or I may have because of mishap, accident, or injury in traveling to and from the playing field and while participating in any game, exhibition or practice. It is my understanding that the CWLSCA/CWCA only carries liability coverage. I understand that CWLSCA/CWCA does not carry medical insurance.

Authorized Parent or Guardian*

2020 Season Authorization Date*

PHOTO RELEASE

I hereby grant to CWLSCA and/or their legal representative, permission to use photographic portraits of my child in publications, forms, advertisements, newsletters, and websites. I waive any right I may have to approve the finished product. I hereby release CWLSCA and/or their representative, or those for whom they are acting, from any liability for any violation of any personal or proprietary right I may have in connection with the use of the above stated images.

Photo Release Authorization Name*

Photo Release Authorization Date*

PARENT CONSENT

I hereby grant CWLSCA and its volunteer coaches to obtain emergency medical care and to administer minor first aid procedures in the event of an emergency. I, the undersigned, consent to allow my child to cheer with the Conrad Weiser Little Scouts Cheerleading Association. The CWLSCA is hereby released from any responsibility from any claim for damages, which my child or I may have because of mishap, accident, or injury in traveling to and from the playing field and while participating in any game, exhibition or practice. It is my understanding that the CWLSCA/CWCA only carries liability coverage. I understand that CWLSCA/CWCA does not carry medical insurance.

Parent Consent Authorization Name*

Parent Consent Authorization Date*

Registration

Step 1 of 3

SEASON 2020 UPDATE - PLEASE READ BEFORE REGISTERING

Please Note

Additional Fundraising Info

Payment Info

Cheerleader Info

Emergency Contact Info

Medical Info

Parent or Guardian Authorization

Volunteer Opportunities

PARENT / GUARDIAN REQUIRED AUTHORIZATION -- PLEASE "SIGN" BELOW

PHOTO RELEASE

PARENT CONSENT

CODE OF CONDUCT

INHERENT RISK NOTIFICATION