REGISTRATION FORM for 2003 NATIONALS

PARTNER STUNT COMPETITION

School/Team ____________________________________________

Division Circle one: 1. Co-ed Collegiate - 2. Co-ed Open All-Star - 3. All-Girl Quad Collegiate - 4. All-Girl Quad Open All-Star

Contact Person _____________________________________________________

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

Fax (______)____________________

MUST SUBMIT : eMail address _____________________________________

Home Address ______________________________________________________________________

City ___________________________________________ Province __________________________

Postal Code _______________________

A. CO-ED Registration Fee is $15.00 (If your team is also competing at the UNCC)

B. CO-ED Registration Fee is $25.00 (If your team is NOT competing at the UNCC)

C. All-Girl Quad Registration Fee is $25.00 (If your team is also competing at the UNCC)

D. All-Girl Quad Registration Fee is $40.00 (If your team is NOT competing at the UNCC)

Names of Co-ed Athletes Competing: Male ____________________________________ Female: ____________________________________

All-Girl Quad: Top: ____________________________________ Base 1: ____________________________________

Base 2: ____________________________________ Base 3: ____________________________________

All-Girl Quad: Top: ____________________________________ Base 1: ____________________________________

Base 2: ____________________________________ Base 3: ____________________________________

A. Only 2 (TWO) stunt pairs or quads may enter the competition per school or All-Star program. (ie. 2 co-ed pairs OR 2 All-Girl Quads OR 1 co-ed pair and 1 all-girl quad)

B. An individual may only enter ONE Division and perform only ONCE, regardless of his or her involvement on multiple teams/clubs.

C. Schools with JV or prep teams are only permitted 2 (TWO) entries into the competition. Not 2 per team.

All Paid Entries with Verified eligibility forms must be received AT the PCA Office no later than Wednesday November 12.

NOTE: Changes to team numbers and/or additions/deletions are not subject to "late" fees. Coaches and team managers are responsible for having all documentation completed and in to the PCA office on time.

| Print: Eligibility Information Form PDF or GIF |

*Please photocopy this form and keep for your records.

Entry Fee Payment cheques are Payable to PCA or Power Cheerleading Athletics. We do not accept P.O.'s or Credit Cards.

Receipts for fees will be handed out to coaches/managers at the coaches meeting prior to the competition start on Nov. 22.

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Mail Entry fee and form to

Power Cheerleading Athletics

3 Horn St. London, Ontario. N6C 3K3

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

Questions: 1-800-567-7221

eMail: PCA@powercheerleading.com