RCA Registration Form 26-27

Season 26-27 Registration

At Revive Cheer Athletics our top priority is to ignite the passion for success in competitive cheerleading. We will set and reach team goals by creating a structured environment where we will train to be a strong, resilient, and confident group. Our mission is to uplift, energize and empower our team and community. Reviving team spirit, one beat at a time!
Athlete Information
Athlete's Name*

First NameLast Name
Birth Date*

MonthDayYear
Athlete Birth Certificate

Revive Cheer Athletics requires a copy of the athlete's birth certificate to be kept on file.
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Athlete Age After July 31, 2026*
Gender*

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Athlete Shirt Size*
Does your athlete have previous cheer experience? If yes, please list how many years, what level teams, and tumbling. *
Parent/Guardian Information
Name*

First NameLast Name
Home Number*
Cell Number*
E-mail*
example@example.com
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Alt. Phone Number
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.*
Is the athlete prescribed an inhaler? If yes, please explain any instructions.*
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Revive Cheer Athletics during the season. In exchange for the acceptance of said child’s candidacy by Revive Cheer Athletics, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Revive Cheer Athletics. and all its respective officers, agents, and representatives from any and all liability for injuries.

In case of injury to said child, I hereby waive all claims against Revive Cheer Athletics. Including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities.
Do you authorize your athlete to receive medical treatment while at Revive Cheer Athletics?*

YesNo
If yes, please select the medications below that may be given to your athlete.*

Antibiotic ointmentAlcohol wipesTylenolIbuprofen
Athlete Sports Physical

Revive Cheer Athletics requires an up to date (May 2025) sports physical on file to begin practice.
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Email & Text Notification Acceptance

Revive Cheer Athletics uses many sources to communicate with parents and athletes, one of which is Email and Text Notifications. Please click the link to sign up for our mailing list.
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Email & Text Notification Consent*

By checking this box, I confirm I have registered for Revive Cheer Athletics Mailing List, and further agree to receive periodic promotional texts from Revive Cheer Athletics. Joining this program is not a condition of purchase. MSG and data rates may apply. Text STOP to unsubscribe from texts from this business at any point, or HELP for more information.
Media Release

Photos and videos will be posted throughout the season on all social media platforms and other public platforms of athletes during practice, competitions, Revive events, etc. without consent from athletes/parents.
Media Release Consent*

By checking this box, I acknowledge and give Revive Cheer Athletics permission to use any photo/media content of my athlete.
Financial Responsibility & Payment Policy Agreement
I acknowledge and agree that I am financially responsible for all costs associated with my athlete’s participation in Revive Cheer Athletics, including but not limited to:

-The season registration fee, which must be paid in full prior to my athlete attending any practices.
-Monthly tuition, which is due on the first (1st) of each month.
-Additional fees, including but not limited to camps, competitions, coaching fees, required uniforms and apparel, classes, and any other items or services purchased.
-All travel-related expenses for my athlete and family.

I understand that late payments are subject to a 10% late fee, and that my athlete may be suspended from practices and/or competitions until the account is paid in full.

I acknowledge that all teams require a full season commitment.

I understand that Revive Cheer Athletics requires a valid credit or debit card to be kept on file, along with a signed credit/debit card authorization form.

I understand that verbal or written notice of withdrawal, or five (5) consecutive unexcused absences without communication, will be considered a voluntary withdrawal (“Drop-Out”). In the event of a Drop-Out, I authorize Revive Cheer Athletics to immediately charge my card on file a $750.00 drop-out fee, in addition to any outstanding account balance.

I understand that all outstanding or past-due balances remain my financial responsibility, regardless of injury, dismissal, or voluntary withdrawal from the program.

I acknowledge that Revive Cheer Athletics maintains a strict no-refund policy. No refunds will be issued for registration fees, tuition, competition fees, apparel (including items ordered or received), or any other program-related expenses.

I further understand and agree that Revive Cheer Athletics reserves the right to submit any delinquent account balances to a collection agency, and that I may be responsible for any associated collection costs as permitted by law.
Financial Policy*

By checking this box, I acknowledge and agree.
Attendance Policy

Athletes are allowed 5 absences for the 26-27 season, unless approved by Revive Coaches. If you must miss practice due to an illness, a doctor’s note will be required to be excused. Practices are mandatory two weeks prior to any program events or competitions. Additional practices may be added throughout the season as needed. An athlete may be removed from the team for attendance conflicts.
Attendance Policy*

By checking this box, I acknowledge and agree.
REVIVE CHEER ATHLETICS COMPLETE POLICY AGREEMENT

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE. BY SIGNING BELOW, I UNDERSTAND AND AGREE WITH ALL OF THE INFORMATION AND TERMS OF REVIVE CHEER ATHLETICS POLICIES.
Name*

First NameLast Name
Signature*

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Date*

MonthDayYear
Date

Registration*

26-27 Season Registration

$200.00

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Total

$0.00

Payment Methods

Credit Card

Apple Pay

ACH Bank Transfer

Signature*

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Date*

MonthDayYear
Date
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Season 26-27 Registration

Athlete Information

Athlete Birth Certificate

Athlete Sports Physical

Email & Text Notification Acceptance

Media Release

Financial Responsibility & Payment Policy Agreement

Attendance Policy

Payment Methods