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Sparklers Registration Form

Date*

Year*

Twirling Status*

Parent/Guardian (1) Full Name*

Parent/Guardian (2)Full Name If Applicable

Contact Number (2)

Full Mailing Address*

Emergency Contact Name*

Emergency Contact Phone Number*

School You Wish To Twirl At*

Please let us know if your child has any physical limitations (hearing, eye sight, learning capabilities, allergies, etc.) so we can better help the individual.

Baton Size (Example 22 inches)

T-Shirt Size (Youth)

REGISTRATION AND INSURANCE FEES ARE NON-REFUNDABLE AFTER CLASSES BEGIN I/We, the parents of the above named child, hereby give our consent for participation in the above capacity and do claim that she/he is in perfect physical condition to participate in said activity. Furthermore, I/we hereby give my/our consent to her/his participation in all Sparkler activities during the current season. I/We assume all risks and hazards incidental to such participation including transportation to and from the activities; and I/we do hereby waive, release, absolve, indemnity and agree to hold harmless the Sparklers/Imperial Knights, Inc., The USTA, associated organization, the organizers, sponsors, supervisors, participants and person transporting my/our daughter/son to or from activities, for any claim raising out of an injury to my/our daughter/son, except to the extent and in the amount covered by accident or liability insurance. GENERAL RULES All members are required to wear a Sparklers T-shirt, black shorts, socks, and sneakers. No jewelry should be brought to class. Hair should be tied back Members are expected to be on time and prepared for class. No food, gum or drinks permitted in class. Family and friends are not permitted in school during class. Parents are expected to pick up children promptly at the end of class; coaches cannot wait at the school after class. All members represent the Sparklers and should always act in a proper manner. Participation in fundraising. No smoking allowed in school buildings I/we have received and read the rules of The Sparklers and will adhere to them to the best of my/our abilities.

Parent/Guardian Signature (Type Full Name)*

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Address 2

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Sparklers Registration Form

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