Athena Cheer Holiday Program Jan 2020 Event Registration
Event Address: Athena Cheer Academy, Shop 5, 31-79 Paisley Drive, Lawnton
Contact us on (07) 3467 0040 mobile 0432 035 735 or email kerry@athenacheer.com.au

Athena’s Holiday Program is open to all athletes of school age in 2020 through to adults.
Bookings are essential and can be made online at www.athenacheer.com.au
Payment is required on arrival Cash or EFTPOS

Single sessions $12
Half Day $30 (2 sessions plus Open Gym OR 4 x 45min sessions in same day)
Open Gym (stand alone price) $10
One week pass $100 Unlimited sessions in the same week. Must be age suitable)
Three week pass $250 (Unlimited sessions across the entire program. Must be age suitable)
Note: MEGA OPEN GYM is the only session not included in the one and three week passes

Mega Open Gym (stand alone price) $20 includes food

Casual Private Tumbling Sessions $30 half hour Text Jiv directly on 0402 451 446 to book

Note: On booking, a confirmation will be sent to the email address supplied.
Email address *
Program Dates: 6th to 24th January, 2020
Week 1: Mon 6th - Fri 10th Jan
Week 2: Mon 13th - Fri 17th Jan
Week 3: Mon 20th - Fri 24th Jan
Full Name of Participant *
Your answer
Date of Birth *
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/
DD
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YYYY
Female/Male *
Required
Parent/Guardian *
Your answer
Mobile Phone Number *
Your answer
Emergency Contact Name (must be different to above) *
Your answer
Mobile Phone Number for Emergency Contact *
Your answer
Week 1: Mon 6th - Fri 10th Jan
Week 2: Mon 13th - Fri 17th Jan
Week 3: Mon 20th - Fri 24th Jan
Liability Waiver: I understand that there are risks of physical injury associated with, arising out of and inherent to the activities described in the holiday program. In recognition of this acknowledged risk of injury, I knowingly and voluntarily waive all rights and/or causes of any kind, including any and all claims of negligence arising as a result of such activity from which liability could accrue to Athena Cheer Academy, its officers, agents, employees, instructors, subsidiaries, parent corporations, and all affiliated entities (hereinafter collectively referred to as "Athena Cheer"). I hereby agree to release Athena Cheer and hold Athena Cheer harmless of all liability, and hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks of physical injury arising out of active participation in cheerleading on behalf of the participant. I am aware that this is a release of liability and an acknowledgement of my voluntary and knowing assumption of risk of injury. I have signed this document voluntarily and of my own free will in exchange for the privilege of participation. I also give Athena Cheer my permission to use my child's picture or video on any form of advertisement for Athena Cheer or an Athena Cheer affiliated event. If I am a minor, my parent and/or legal guardian has signed this document on my behalf releasing Athena Cheer from and all such liability described above and has acknowledged that I am knowingly and voluntarily assuming all risks of injury inherent to this activity. The above named participant has my permission to participate in all Athena Cheer Holiday Program events. I warrant the above information is complete and correct. I hereby authorize Athena Cheer or their agent to act on my behalf to provide emergency medical treatments. I further release Athena Cheer of all liabilities associated with my child's attendance in the Athena Cheer Holiday Program. *
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