BEST of the WEST - REGISTRATION FORM

School/Team ____________________________________________

Contact Person (indicate coach, captain, advisor) _____________________________________________________

Home Phone (_____)__________________ Other Phone (work, cell, etc.) (______)____________________

Fax (______)____________________ eMail address _____________________________________

Home Address ______________________________________________________________________

City ___________________________________________ Province __________________________

Postal Code _______________________

Number of Athletes Competing:___________ Number of Coaches/Trainers __________

*Teams may have any number of athletes on the floor (ie you are not limited to 20)*

1. Team Registration Fee: $10.00 per athlete. (3 coaches per team: free)

Number of athletes competing _____ x $10.00 = _________

Number of Coaches: _________ (no charge)

2. Co-ed Partner Stunt Pair: $15.00 (all divisions) - Please submit the first name (or nick name) of the performing athletes only

i. M _______________________ F _______________________

ii. M _______________________ F _______________________

iii. M _______________________ F _______________________

iv. M _______________________ F _______________________

4. Partner Stunt Quad: $25.00 (all divisions) - Please submit the first name (or nick name) of the performing athletes only.

i. 1 _______________________ 2 _______________________ 3 _______________________ 4 _______________________

ii. 1 _______________________ 2 _______________________ 3 _______________________ 4 _______________________

iii. 1 _______________________ 2 _______________________ 3 _______________________ 4 _______________________

iv. 1 _______________________ 2 _______________________ 3 _______________________ 4 _______________________

Please submit additional sheet(s) if required

For All PCA Competitions, The entry fee is due 2 weeks prior to the event. Late entrants add $25.00.

Refund Policy: Cancellations received by phone or confirmed email received prior to Monday February 2, 2004 will be refunded their entry minus $50.00 administration fee. Cancellations within one week of the event will have a $75.00 non refundable fee levied. Partner Stunt Groups will receive half of their paid entry fee back, if notice is received by PCA at least one week prior to the event.

*Please photocopy this form and keep for your records.

Send Entry fee and form to

Power Cheerleading Athletics

3 Horn St. London, Ontario. N6C 3K3

FAX: (519) 434-9531 NOTE: Application is not vaild until entry fee is received.

Questions: 1-800-567-7221

eMail: PCA@powercheerleading.com