Coaches over the last year:

COMPETITIVE ACHIEVEMENT EVENTS $12.00 PER EVAL

COMPULSORIES

___ C ___ B ___ BI ___ BII ___ A ___ AA ___AAA ___Elite

MOVEMENT TECHNIQUE

___ C ___ B ___ BI ___ BII ___ A ___ AA ___AAA ___Elite

Compulsory book is required for evaluation. If no book is presented, only comments will be given.

Per USTA rules, Athletes may test and pass up to two levels or Compulroies and Movement Technique per competition.

# of CAS eval ____ x $12.00 = _____

Total due for Events

____________________

Intro Membership $7.00

____________________

Registration Fee

____________________

TOTAL DUE

Wavier / Indemnity of Liability:

I agree to assume the risk of any injury that may happen to me (or my child) as a result of

participation in a USTA sanctioned event. I further agree to indemnify and hold the

United State Twirling Association, The ShowTwirlers, The ShowTwirlers Booster Club, and IUP

and their agents, or employees harmless from any loss sustained as

a result of injury to me (or my child) as a result of participation in USTA events. I have read

the "Parents/Legal Guardians Responsibilities" in Section 1 of the current edition of the USTA

information, procedures and rule manual. As a condition for USTA's acceptance of my

(or my child's) entry in a USTA event, I agree to abide by and perform each of the duties set

forth in that section. By participating in a USTA event, I give USTA permission to use photos

and video of myself (or my child(ren)) taken in conjunction with a USTA event.

Signature: ___________________________________________________

Date: ______________________

Parent / Guardian if under 18