REGISTRATION FORM for 2004

Power Cheer JUNIOR Nationals

EVERY team in EVERY Division Receives a trophy

School/Team ____________________________________________

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 $17.50 per Athlete and Coach.

Number of Athletes Competing:___________ x $17.50 = ___________

Number of Coaches/Trainers __________ x $17.50 = ___________

Total Entry Fee: ___________

DIVISION (circle one): Junior School Division | Junior All-Star Division | Youth All-Star Division |

Registration Fee is $12.50 per Athlete and Coach for teams that received a Nationals Bid at a PCA camp in the summer of 2003

Number of Athletes Competing:___________ x $12.50 = ___________

Number of Coaches/Trainers __________ x $12.50 = ___________

Total Entry Fee: ___________

DIVISION: Junior School Division | Junior All-Star Division | Youth All-Star Division |

Click to view teams who earned Nationals Bids from the 2003 camps.

All Paid Entries and forms must be received AT the PCA Office no later than Friday April 9, 2004.

LATE entries (received between and including April 10, 2004 and April 16, 2004) will have the following applied to them:

1. $75.00 late fee is added to the team entry fee total

2. Camp Bid discount no longer applies.

LATE entries (received between and including April 17, 2004 and April 24, 2004) will have the following applied to them:

1. $125.00 late fee is added to the team entry fee total.

NOTE: Please help the organizers out by faxing your registration forms then mailing in a copy along with the entry fee.

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

*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/active until entry fee is received.

Questions: 1-800-567-7221

eMail: PCA@powercheerleading.com

Refund/cancellation Policy: PCA will retain $7.00 per athlete/coach/trainer cancellation registered with PCA prior to and including April 16, 2004.

Cancellations received after April 16, 2004 will not be refunded.

Teams/Coaches are asked to email the name(s) of individuals (or team) being cancelled directly to PCA. Refund payments will be issued within 30 days after the event.