Athena Cheer Holiday Program Jan 2021 Event Registration
Event Address: Athena Cheer Academy, Shop 5, 31-79 Paisley Drive, Lawnton, QLD
Contact us on: mobile 0432 035 735 or email kerry@athenacheer.com.au

Athena’s Holiday Program is open to all athletes of school age in 2021 through to adults.
Payment is required on arrival Cash or EFTPOS

Half Day $30 (AM or PM covers as many classes as you wish to do within the one session)
Open Gym (stand alone price) $10 NO BOOKING REQUIRED
One week pass $100 (Unlimited sessions in the same week. Must be age/level suitable to classes chosen)
Two week pass $160 (Unlimited sessions across the entire program)
Single Sessions $15

Casual Private Tumbling Sessions $30 half hour Text Kerry on mobile 0432 035 735 to book

Note: On booking, a confirmation will be sent to the email address supplied.
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Email *
Program Dates: 11th to 23rd January, 2021
Week 1: Mon 11th - Sat 16th Jan
Week 2: Mon 18th - Sat 23rd Jan
Team Trials: Saturday 16th Jan, 1.00 - 2.15pm ALL LEVELS
Full Name of Participant *
Date of Birth *
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Female/Male *
Required
Parent/Guardian *
Mobile Phone Number *
Emergency Contact Name (must be different to above) *
Mobile Phone Number for Emergency Contact *
Week 1: Mon 11th - Sat 23rd Jan
If you chose a single session for week one please list: day, time and session title
Week 2: Mon 18th - Sat 23rd Jan
If you chose a single session for week 2 please list: day, time and session title
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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