REGISTRATION FORM for 2002 NATIONALS

School/Team ____________________________________________

Division Circle one: Collegiate - Open

Contact Person (indicate coach, captain, advisor) _____________________________________________________

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

Fax (______)____________________ eMail address _____________________________________

Home Address ______________________________________________________________________

City ___________________________________________ Province __________________________

Postal Code _______________________

Registration Fee is $15.00 per Athlete and Coach.

Number of Athletes Competing:___________ x $15.00 = ___________

Number of Coaches/Trainers __________ x $15.00 = ___________

Total Entry Fee: ___________

All Paid Entries with Verified eligibility forms must be received AT the PCA Office

no later than Friday November 1.

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

Click for 2002 Eligibility Form (in Adobe Acrobat .pdf)

*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

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