JAMZ 2017 THOUSAND OAKS CHEER & DANCE CAMP

Transcription

1 JAMZ 07 THOUSAND OAKS CHEER & DANCE CAMP EVENT DETAILS WHEN: Saturday, August th - Sunday, August th CAMP SCHEDULE: SATURDAY 8:0am - Coach Check-in 9:0am - :0pm - Camp Instruction SUNDAY 9:0am - :0pm - Camp Instruction : - :0pm - Family & Friends Show LUNCH takes place :0pm-:pm (Both Days) WHERE: Cal Lutheran University 0 West Olsen Road Thousand Oaks, CA 90 COST: day camp - $8 per Participant Coaches - FREE with team registration Overnight Option: $ per participant/coach (In addition to camp tuition - Paid directly to Cal Lutheran) WHAT TO BRING Water Bottle Sunscreen Spending Cash for Camp T-Shirts, Shorts & Fun Stuff Comfortable Athletic Shoes Have Hair Pulled Back Away from the Face & Shoulders Form-Fitting Athletic Clothing (loose/baggy clothes are a stunt safety hazard) Lunch OR cash for the Snack Bar! HOW TO REGISTER ) Complete the following forms (see additional pages): Team Registration Form Team Agreement of Compliance Form. Jr. Coach/Underage Coach Agreement of Compliance Form ) Submit all forms at the same time and one team payment using an option below: Friday - Check in Saturday - Breakfast, Lunch, & Dinner Sunday - Breakfast & Lunch Check out Option : Mail Checks (no personal checks) and all required forms to: JAMZ Summer Camps P.O. Box 08, Modesto, CA 9 INTERESTED IN THE OVERNIGHT OPTION? Please Vanessa from Cal Lutheran University for more information and payment: vwebster@callutheran.edu Option : Fax all required forms and credit card form to WHAT S INCLUDED Option : all required forms and credit card form to registration@jamz.com. Full Curriculum Excellent Staff-to-Student Ratio Top-rated Experts Specialized in All Levels Coaching Techniques & Unity Building Comprehensive Stunt Training New Stunt Building Techniques Game Day Material Dance Routines with a Variety of Styles (i.e. Funk, Hip-Hop, Pom, Novelty, Jazz) Daily Awards & Fun Contests Camp tuition and registration are due in the JAMZ Office by: Monday, July, 07 Payment must be made with registration forms. QUESTIONS? Call us or registration@jamz.com.

2 TEAM REGISTRATION FORM 07 THOUSAND OAKS JAMZ SUMMER CAMP MAIL this form (with payment) to: JAMZ SUMMER CAMPS: P.O. BOX 08, MODESTO, CA 9, forms to or FAX forms to: (09) ALL REGISTRATION & PAYMENT DUE: Monday, July, 07. REMINDER: Agreement of Compliance Forms are required to participate at camp. Forms can be mailed, faxed, or turned in at coach check-in prior to the start of the first day of camp. Camp Location: Cal Lutheran University, 0 West Olsen Road, Thousand Oaks, CA 90 Camp Dates: AUGUST -, 07 Team/Organization: Level: (i.e. Mascot, Jr. Pee Wee, Varsity, Gremlin) Team Type (check only one box): Stunt and Dance Dance Only (no stunt) - If Dance Only selected check all that apply: CheerStyle Pom Hip Hop/Funk All correspondence will be forwarded to the contact person listed below: Coach s/coordinator s/advisor s First Name Last Name: Address: City: State: Zip: Home Phone: ( ) Work Phone: ( ) Cell Phone: ( ) Address: Additional Contact Person: Phone: ( ) Please complete the fields below. Names of individuals participating are required. Make additional copies as needed. PARTICIPANT NAMES FIRST NAME LAST NAME PARTICIPANT TYPE Female Male My signature below indicates that I have read and agree with JAMZ Policies and Procedures. I am responsible for communicating this info to my coaching staff, parents and participants. Signature: Total # of Participants: multiplied by $ 8.00 (Tuition per Participant) = $ TOTAL PARTICIPANTS = TOTAL AMOUNT = $ FOR OFFICE USE ONLY: DR DE MOP IP CFM

3 TEAM AGREEMENT OF COMPLIANCE FORM THOUSAND OAKS JAMZ CAMP - THOUSAND OAKS, CA Medical Treatment, Liability Release, & Appearance Agreement for JAMZ American Spirit Connection, Inc. ORGANIZATION/TEAM NAME: MAIN CONTACT: DATE SUBMITTED: SIGNATURE: A. As the parent or legal guardian of the above-listed child, I freely acknowledge that I have voluntarily registered my child to participate in cheerleading activities of JAMZ AMERICAN SPIRIT CONNECTION, INC., a California corporation (hereinafter JAMZ ), which include dance, gymnastics, stunting, jumping and tumbling components. I acknowledge that my child s participation in the JAMZ cheerleading activities entails both known and unanticipated risks that could result in serious and permanent physical and emotional injuries to my child, my child s death, damage to property, and injury tthers. I understand that such risks are inherent in the activities and that even with precautions and safety measures they simply cannot be eliminated without jeopardizing the essential qualities of the activities. I also understand and acknowledge that injuries received by my child may be compounded or increased by negligent rescue operations or the assistance of JAMZ Representatives (defined below). Understanding such dangers, I hereby knowingly and voluntarily enroll my child in the JAMZ cheerleading event, I give my permission for my child to engage in the activities described herein, and I assume the risk of the activities involving my child. I understand that my child would not have permission to participate in the JAMZ cheerleading activities without agreeing to these terms and conditions. B. I represent that my child is in good health, that I adequately informed JAMZ Representatives running the activities of any special instructions regarding my child s health or physical condition. I certify that I have adequate insurance to cover any injury or damage that my child may suffer while participating in the JAMZ cheerleading activities. I agree to bear the costs of any injury or damages my child may suffer while participating in the JAMZ cheerleading activities. I hereby authorize JAMZ Representatives to call for medical care for my child or to transport my child to a medical facility or hospital if in the opinion of such personnel, my child needs medical attention. I hereby authorize and grant permission to emergency medical personnel to administer first aid or immediate medical treatment to my child should my child become injured or ill. C. On behalf of my child and myself, I hereby knowingly and voluntarily release and forever discharge JAMZ or its employees, agents, coaches, instructors, assistants, officers, directors, owners, shareholders, subcontractors, and any other representatives or affiliates and their respective heirs, successors, and assigns (collectively with JAMZ, JAMZ Representatives ) from any and all liability arising out of or in connection with the above-described activities involving my child. Liability means any and all claims, demands, losses, causes of action, lawsuits or judgments of any and every kind that occurs during or incidental to the above-described activities, that results from any cause whether caused by the negligence of the JAMZ Representatives or otherwise. D. I hereby agree to and shall indemnify, defend, save and hold harmless JAMZ Representatives from and against any and all loss, liability, damage, or cost JAMZ Representatives may incur, including attorneys fees and litigation costs, arising out of or related to the above-described activities, whether caused by the negligence of JAMZ Representatives or otherwise. E. I hereby agree that the assumption of risk, the release and waiver of liability, and the indemnity agreements contained herein extend to all acts of negligence by JAMZ Representatives including negligent rescue operations, is intended to be as broad and inclusive as is permitted by the laws of California and any other state whose laws apply to the activities described herein, and that if any portion of this form is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. F. I give JAMZ Representatives the right to photograph or video tape my child, or likeness of my child, for any reproductions associated or in any way connected with any televised or filmed event undertaken by JAMZ. Specifically, I hereby forever and irrevocably grant to JAMZ a license and permission to use any such photographic or video reproduction of my child in any form of advertisement for JAMZ or its promotional purposes. G. By signing this form I represent that I have read this form thoroughly and understand it completely, including the substantial legal rights I am giving up for my child and myself by signing it. I have had the opportunity to have my own attorney review this form and my attorney has done sr I have knowingly and voluntarily chosen not to have my attorney review this form. I have signed this form freely and voluntarily without inducement of any kind or guarantee being made by JAMZ Representatives or anyone else. I intend by my signature for this form to be a complete and unconditional release of any and all liability to the greatest extent allowed by law. I understand and agree that this form cannot be amended or modified by any oral statements or other writings from any JAMZ Representatives and that it is binding on my child, myself, and our heirs, successors, distributees, guardians, legal representatives, and assigns. This form is valid for any JAMZ event conducted from 0//07-09/0/07. This form MUST be filled out completely. Please photocopy this form and retain for your records. This form is not valid for JAMZ Championship Events. Fax this form to JAMZ Registration Department or Mail to JAMZ Summer Camps: PO Box 08, Modesto, CA 9. PARTICIPANT NAME DOB M / F Insurance Company Name Parent/Legal Guardian Signature Date Signed Cell # / Emergency Contact EX. Stephanie Smith 0/0/9 F Blue Cross MIKE Smith //7 () -/Mike Smith If you have more than 0 participants in your organization/team, please duplicate this form as necessary.

4 JUNIOR COACH/UNDERAGE COACH AGREEMENT OF COMPLIANCE FORM THOUSAND OAKS JAMZ CAMP - THOUSAND OAKS, CA Medical Treatment, Liability Release, & Appearance Agreement for JAMZ American Spirit Connection, Inc. JAMZ REQUIRES EVERY COACH, JUNIOR COACH, TRAINER, ETC. UNDER THE AGE OF 8 PARTICIPATING AND/OR ATTENDING CAMP TO HAVE A PARENT/GUARDIAN SIGNATURE. Have each coach, junior coach, trainer fill out their information in the spaces provided below with a parent/guardian signature. EACH coach under the age of 8 must have a parent/guardian signature in order to participate/attend camp. ORGANIZATION/TEAM NAME: MAIN CONTACT: DATE SUBMITTED: SIGNATURE: A. As the parent or legal guardian of the above-listed child, I freely acknowledge that I have voluntarily registered my child to participate in cheerleading activities of JAMZ AMERICAN SPIRIT CONNECTION, INC., a California corporation (hereinafter JAMZ ), which include dance, gymnastics, stunting, jumping and tumbling components. I acknowledge that my child s participation in the JAMZ cheerleading activities entails both known and unanticipated risks that could result in serious and permanent physical and emotional injuries to my child, my child s death, damage to property, and injury tthers. I understand that such risks are inherent in the activities and that even with precautions and safety measures they simply cannot be eliminated without jeopardizing the essential qualities of the activities. I also understand and acknowledge that injuries received by my child may be compounded or increased by negligent rescue operations or the assistance of JAMZ Representatives (defined below). Understanding such dangers, I hereby knowingly and voluntarily enroll my child in the JAMZ cheerleading event, I give my permission for my child to engage in the activities described herein, and I assume the risk of the activities involving my child. I understand that my child would not have permission to participate in the JAMZ cheerleading activities without agreeing to these terms and conditions. B. I represent that my child is in good health, that I adequately informed JAMZ Representatives running the activities of any special instructions regarding my child s health or physical condition. I certify that I have adequate insurance to cover any injury or damage that my child may suffer while participating in the JAMZ cheerleading activities. I agree to bear the costs of any injury or damages my child may suffer while participating in the JAMZ cheerleading activities. I hereby authorize JAMZ Representatives to call for medical care for my child or to transport my child to a medical facility or hospital if in the opinion of such personnel, my child needs medical attention. I hereby authorize and grant permission to emergency medical personnel to administer first aid or immediate medical treatment to my child should my child become injured or ill. C. On behalf of my child and myself, I hereby knowingly and voluntarily release and forever discharge JAMZ or its employees, agents, coaches, instructors, assistants, officers, directors, owners, shareholders, subcontractors, and any other representatives or affiliates and their respective heirs, successors, and assigns (collectively with JAMZ, JAMZ Representatives ) from any and all liability arising out of or in connection with the above-described activities involving my child. Liability means any and all claims, demands, losses, causes of action, lawsuits or judgments of any and every kind that occurs during or incidental to the above-described activities, that results from any cause whether caused by the negligence of the JAMZ Representatives or otherwise. D. I hereby agree to and shall indemnify, defend, save and hold harmless JAMZ Representatives from and against any and all loss, liability, damage, or cost JAMZ Representatives may incur, including attorneys fees and litigation costs, arising out of or related to the above-described activities, whether caused by the negligence of JAMZ Representatives or otherwise. E. I hereby agree that the assumption of risk, the release and waiver of liability, and the indemnity agreements contained herein extend to all acts of negligence by JAMZ Representatives including negligent rescue operations, is intended to be as broad and inclusive as is permitted by the laws of California and any other state whose laws apply to the activities described herein, and that if any portion of this form is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. F. I give JAMZ Representatives the right to photograph or video tape my child, or likeness of my child, for any reproductions associated or in any way connected with any televised or filmed event undertaken by JAMZ. Specifically, I hereby forever and irrevocably grant to JAMZ a license and permission to use any such photographic or video reproduction of my child in any form of advertisement for JAMZ or its promotional purposes. G. By signing this form I represent that I have read this form thoroughly and understand it completely, including the substantial legal rights I am giving up for my child and myself by signing it. I have had the opportunity to have my own attorney review this form and my attorney has done sr I have knowingly and voluntarily chosen not to have my attorney review this form. I have signed this form freely and voluntarily without inducement of any kind or guarantee being made by JAMZ Representatives or anyone else. I intend by my signature for this form to be a complete and unconditional release of any and all liability to the greatest extent allowed by law. I understand and agree that this form cannot be amended or modified by any oral statements or other writings from any JAMZ Representatives and that it is binding on my child, myself, and our heirs, successors, distributees, guardians, legal representatives, and assigns. \ This form is valid for any JAMZ event conducted from 0//07-09/0/07. This form MUST be filled out completely. Please photocopy this form and retain for your records. This form is not valid for JAMZ Championship Events. Fax this form to JAMZ Registration Department or Mail to JAMZ Summer Camps: PO Box 08, Modesto, CA 9. JUNIOR COACH NAME DOB M / F Insurance Company Name Parent/Legal Guardian Signature Date Signed Cell # / Emergency Contact EX. Stephanie Smith 0/0/9 F Blue Cross MIKE Smith //7 () -/Mike Smith If you have more than underage coaches in your organization/team, please duplicate this form as necessary.

5 CREDIT CARD/E-CHECK AUTHORIZATION FORM 07 THOUSAND OAKS JAMZ SUMMER CAMP INSTRUCTIONS: ) Choose which payment method you prefer and complete all info requested. ) MAIL forms to: JAMZ SUMMER CAMPS: PO BOX 08 MODESTO, CA 9 or FAX forms to: (09) ) Camp Registration and Payment are due to the JAMZ Office by: Monday, July, 07 Team/Organization/School: Camp Location: CAL LUTHERAN UNIVERSIY, 0 WEST OLSEN ROAD, THOUSAND OAKS, CA 90 Camp Date: AUGUST -, 07 PLEASE PRINT LEGIBLY OR TYPE: I,, here by authorize the following charges: PRINT NAME Total Number of PARTICIPANTS: X Fee Per Participant: $ 8.00 = TOTAL AMOUNT TO BE CHARGED $ PAYMENT OPTION - CREDIT CARD INFORMATION IF USING A CREDIT CARD, PLEASE CHECK ONE: VISA MASTER CARD AMERICAN EXPRESS DISCOVER Name as it appears on Credit Card: PRINT NAME Expiration Date: / Credit Card Security Code: Billing ZIP Code: MONTH YEAR / / ( ) SIGNATURE OF CARD HOLDER DATE CONTACT NUMBER Please write each digit of the Credit Card Number in the blocks provided below: PAYMENT OPTION - E-CHECK INFORMATION I AUTHORIZE JAMZ TO INITIATE EITHER AN ELECTRONIC DEBIT OR TO CREATE AND PROCESS A DEMAND DRAFT AGAINST MY BANK ACCOUNT ON OR AFTER THE DATE SUBMITTED FOR THE AMOUNT OF THE TOTAL CHARGE SHOWN ABOVE. I ACKNOWLEDGE THAT THE ORIGINATION OF ACH TRANSACTIONS TO MY ACCOUNT MUST COMPLY WITH THE PROVISIONING OF UNITED STATES LA LAW. AN NSF CHECK WILL RESULT IN AN AUTOMATIC DRAFT ON MY ACCOUNT FOR A $ NSF FEE. MY ACCOUNT INFORMATION IS AS FOLLOWS: W. AN NSF CHECK WILL RESULT IN AN AUTOMATIC DRAFT ON MY ACCOUNT FOR A $ NSF FEE. MY ACCOUNT INFORMATION IS AS FOLLOWS: Name as it appears on Check: (TEAM, ORGANIZATION OR LEAGUE NAME ON CHECK) Routing Number: Account Number: / / ( ) SIGNATURE OF ACCOUNT HOLDER DATE CONTACT NUMBER FOR OFFICE USE ONLY: DR DE IP CFM