participant release and waiver form - National Cheerleaders ...

NCA & NDA COLLEGIATE
CHEER AND DANCE CHAMPIONSHIP
Bandshell, Ocean Center, Peabody Auditorium | Daytona Beach, FL | April 9-13, 2014
QUALIFICATION VIDEOS
All qualification videos (including Cheer & Dance teams, Partner Stunt, All-Girl Group Stunt and Mascot) MUST be RECEIVED in the office no later than
January 24, 2014. Team videos are free. Videos must be sent to: NCA & NDA Collegiate Championship, 2010 Merritt Drive, Garland, Texas 75041. Each
team’s entry must be on a separate DVD and labeled with school name, division, cheer or dance, coach’s name, address, email and telephone number. A
“Video Entry Form” should accompany each video entry (see following page).
• Receipt deadline for team qualification only: January 24, 2014 (no entry fee required)
• Receipt deadline for Partner Stunt, All-Girl Group Stunt and Mascot entries: ($25 entry fee) January 24, 2014
• Videos may be emailed to ncandavideos@gmail.com (for cheer videos) or nda.dance.videos@gmail.com (for dance videos); videos may not exceed 10mb
and should be in Windows Media Player or Quicktime format
Note: AACCA College Safety Guidelines will be enforced for all video entries and 5.0 deduction will be given for any safety rule violation. Coaches will be
notified of any deductions for safety guideline violations (cheer only).
CHEER TEAMS: Each cheer team video must include five (5) separate segments: 1. Stunts, 2. Tumbling, 3. Basket/Sponge Tosses, 4. Pyramids, 5. Game Day
Segment. The skills segment of the video can be a maximum of 2 minutes.
• Stunts: Must show at least three (3) stunts in their entirety utilizing as many members as possible with the partners starting with at least one foot on
the ground, and concluding with the dismounts landing in a cradle position or back to the ground.
• Tumbling: Must show at least two (2) skills of standing tumbling to include as many members as possible (i.e. handsprings, tucks, fulls, toe-backs,
etc.). Must also show at least two (2) synchronized running passes with as many members as possible (i.e. handsprings series, tucks, fulls, doubles,
whips, elite passes, etc.) where all participating members start and finish together.
• Basket/Sponge Tosses: Must show at least three (3) complete separate tosses to include as many groups as possible. Each of these three tosses
must be shown from the mount (at least one foot on the ground) through the cradle.
• Pyramids: Must show at least three (3) complete pyramids to include as many people as possible. Each of these three pyramids must be shown from
the mount (at least one foot on the ground) through the dismount to a cradle position or back to the ground.
• Game Day Segment: In addition to the above requirements, all video qualifiers must submit a 45 Second Game Day performance. This performance
must follow the same rules and guidelines as the 45 Second Crowd Segment required at Nationals. This format must follow the same rules as listed
under the “Game Day Score” on page 14-15 of the College Rule Book. This segment MUST be filmed in front of a live audience.
MASCOT: Videos must include a 90 second unedited skit. Routine must be performed to music. No live props are allowed. $25 entry fee. Should follow
the same format and rules as stated for the actual competition on page 22 of College Rule Book.
PARTNER STUNT: Videos must include a 45 second unedited routine. Routine must be choreographed to music. One spotter is required. Must adhere to
all uniform requirements. $25 entry fee.
ALL-GIRL GROUP STUNT: Video must include a 45 second unedited routine. Routine should be choreographed to music. Groups may have up to four (4)
members - all female. Must adhere to all eligibility and uniform requirements. $25 entry fee.
RESULTS: The results of partner stunt, group stunt and mascot video entries will be available by January 31, 2014, and will be posted on nca.varsity.com at
6:00pm CST. Videos submitted for qualification will not be viewed for competition safety violations. A separate video must be sent for this purpose.
DANCE TEAM PERFORMANCE REQUIREMENTS: Dance teams must submit one video that includes a 30 second Hip Hop routine, a 30 second Jazz
routine, a 30 second Pom routine as well as 30 seconds of Technical skills (this may be numerous across the floor passes or a choreographed piece). The
technical skills segment only may contain numerous edits. Split screens are not allowed. Speed of performance may not be altered. All team members do
not need to be in each segment; however, at least eight (8) members must appear in the pom, jazz and hip hop segments of the video. All members on the
video must be official, eligible team members at the time of taping. Videos must be current year footage, from previous year is prohibited.
OPEN VIDEO REQUIREMENTS: Dance teams must submit a performance routine of any style, two minutes maximum and 90 seconds minimum in length.
The team must be represented by AT LEAST two (2) members.
GENERAL VIDEO GUIDELINES
More Specific Instruction may be listed above
• All skills MUST follow the AACCA Collegiate Cheerleading Safety Rules (cheer only)
• No split screens, freeze frames or speed altering is allowed
• All participants must be current eligible members of the school and team they are representing
• All footage must be of current academic year
• Teams must also follow specific division requirements as applicable (i.e. Small Coed, Intermediate, All Girl, Team Performance, etc.)
• There is NO video entry fee for TEAM VIDEOS ($25 for Partner, Group Stunt and Mascot)

NCA & NDA COLLEGIATE
CHEER AND DANCE CHAMPIONSHIP
Bandshell, Ocean Center, Peabody Auditorium | Daytona Beach, FL | April 9-13, 2014
TEAM NAME:
VIDEO QUALIFICATION
Registration Fee for All-Girl Group Stunt, Mascot, and Partner Stunt is $25 per group or mascot.
This form must accompany your video.
Please be sure to check the division in which your squad fits.
q Cheer
q Dance
q Partner Stunt ($25 Entry Fee)
q Group Stunt ($25 Entry Fee)
q Mascot ($25 Entry Fee)
Fill out all information and send entry form, check and video to:
NCA & NDA College Nationals Video Qualification, 2010 Merritt Drive, Garland, TX 75041
CONTACT INFORMATION
Name of Team as it should appear on Performance Order
Street Address (no P.O. Box Accepted)
City
State
Zip
Work Number
Fax Number
Coach - All correspondence will be forwarded to the address of the Coach
Contact Email Address
Street Address (no P.O. Box Accepted)
City
State
Zip
Home Number
Cell Number
Fax Number
DIVISION:
Refer to page 10 (cheer) and page 41 (dance) of the 2013-2014 College Rule Book to verify division requirements.
The College Rule Book can be found online at nca.varsity.com and nda.varsity.com.
I certify that all participants who perform on the enclosed video are current eligible members of the school and squad being
represented and meet the eligibility requirements set forth by NCA & NDA and the respective school.
Coach Signature

NCA & NDA COLLEGIATE
CHEER AND DANCE CHAMPIONSHIP
Bandshell, Ocean Center, Peabody Auditorium | Daytona Beach, FL | April 9-13, 2014
TEAM NAME:
Your registration will not be processed unless all information is completely filled out.
You must submit a separate registration form for each team competing.
• Put the number of cheerleaders/dancers in the space provided by the division which you are registering
• If applicable, add any alternates who are also registering in the space provided
• Double check your division for accuracy prior to faxing or mailing in your registration
NUMBER OF
PARTICIPANTS
NUMBER OF
ALTERNATES CHEER DIVISION COLLEGE OR UNIVERSITY REQUIREMENTS
___________ ___________ Division IA Teams competing with more than 4 males from Div. IA (FBS) football schools.
___________ ___________ Division I Teams competing with more than 4 males from Div. IAA (FCS) football schools, or do not have
football and compete in Div. I basketball.
___________ ___________ Division II Teams competing with more than 4 males from Div. II & III
___________ ___________ Small Coed IA Teams competing with 1-4 males from Div. IA (FBS) schools.
___________ ___________ Small Coed I Teams competing with 1-4 males from Div. IAA (FCS), football schools, or do not have football
and compete in Div. I basketball.
___________ ___________ Small Coed II Teams competing with 1-4 males from Div. II, III, Junior College & Community College schools.
___________ ___________ Junior College Teams competing with more than 4 males from Junior College & Community College schools.
___________ ___________ All Girl Division IA Teams competing with NO males from Div. IA (FBS) schools.
___________ ___________ All Girl Division I Teams competing with NO males from Div. IAA (FCS) football schools, or from Div. I basketball
schools.
___________ ___________ All Girl Division II Teams competing with NO males from Division II schools.
___________ ___________ All Girl Division III Teams competing with NO males from Division III, Junior College & Community College schools.
___________ ___________ Coed Intermediate I Intermediate teams competing with 1 or more males from Div. IA (FBS), IAA (FCS) and Div. I
schools (skill restrictions apply).
___________ ___________ Coed Intermediate II Intermediate teams competing with 1 or more males from Div. II, Div. III, NAIA, Jr. College &
Community College schools (skill restrictions apply).
___________ ___________ All Girl Intermediate I Intermediate teams competing with NO males from Div. IA (FBS), IAA (FCS) and Div. I schools
(skill restrictions apply).
___________ ___________ All Girl Intermediate II Intermediate teams competing with NO males from Div. II, Div. III, NAIA, Jr. College &
Community College schools (skill restrictions apply).
___________ ___________ NAIA Small Coed Teams from NAIA schools competing with 1-4 males.
___________ ___________ NAIA Large Coed Teams from NAIA schools competing with more than 4 males.
___________ ___________ NAIA All Girl Division Teams from NAIA schools competing with NO MALES.
International Teams: International teams will compete in divisions based on school enrollment, number of males, and skill restrictions. 20,000 or above–Coed IA, Small Coed IA, AG I,
Coed Int., AG I Int. 10,000-20,000–Coed I, Small Coed I, AG I, Coed Int., AG I Int. 5,000-10,00–Coed II, Small Coed II, AG III, Coed Int., AG II Int. Less than 5,000–Coed II, Small Coed II, AG
III, Coed Int., AG II Int. Two Year Schools–Coed Jr. College, Small Coed II, AG III, Coed Int., AG III Int.
NUMBER OF
PARTICIPANTS
NUMBER OF
ALTERNATES DANCE DIVISION COLLEGE OR UNIVERSITY REQUIREMENTS
___________ ___________ T.P. Division IA Teams competing from Div. IA (FBS) football schools.
___________ ___________ T.P. Division I Teams competing from Div. IAA (FCS) football schools, or do not have football and compete in
Div. I basketball.
___________ ___________ T.P. Division II Teams competing from Div. II schools.
___________ ___________ T.P. Division III Teams competing from Div. III, Junior College & Community College schools.
___________ ___________ Open Division IA Open teams competing from Div. IA (FBS) schools.
___________ ___________ Open Division I Open teams competing from Div. IAA (FCS), football schools, or do not have football and
compete in Div. I basketball.
___________ ___________ Open Division II Open teams competing from Div. II, III, NAIA, Junior College & Community College schools.
___________ ___________ Hip Hop IA Open to all Div IA collegiate dance teams that are also registered for either a Team
Performance Division or Open Division performance.
___________ ___________ Hip Hop I Open to all Div I collegiate dance teams that are also registered for either a Team Performance
Division or Open Division performance.
___________ ___________ Hip Hop II Open to all other division dance teams that are also registered for either a Team Performance
Division or Open Division performance.
___________ ___________ T.P. NAIA Small Teams from NAIA schools competing with 2-9 team members.
___________ ___________ T.P. NAIA Large Teams from NAIA schools competing with 10-20 team members.
International Teams: International teams will compete in divisions based on school enrollment. 20,000 or above - T.P. Div IA or Open Div. IA. 10,000-20,000 - T.P. Div I or Open Div I. 5,000-
10,000 - T.P. Div II or Open Div II. Less than 5,000 - T.P. Div III or Open Div II. Two-Year Schools - T.P. Div III or Open Div III. (T.P. = Team Pertformance)
**A dancer may only compete in two divisions if one of them is Hip Hop Division.
Dance teams are limited to a maximum of twenty participants plus one mascot; EXCEPTION: T.P. NAIA SMALL. Teams in these divisions must follow the NDA Collegiate Dance Safety Rules.
Visit nca.varsity.com or nda.varsity.com for detailed rules, participant numbers, regulations and requirements for all above cheer and dance divisions.
Information located under the 2013-2014 Rules and Divisions link.

NCA & NDA COLLEGIATE
CHEER AND DANCE CHAMPIONSHIP
Bandshell, Ocean Center, Peabody Auditorium | Daytona Beach, FL | April 9-13, 2014
MUSIC DOWNLOAD FORM
To ensure a quality projection of sound and unblemished reading of each CD, a digital sound system will be utilized for all performances at the
2014 NCA & NDA Collegiate Cheer and Dance Championship. While NCA & NDA do not require this process be followed, it is encouraged to avoid
mechanical or technical malfunctions that can occur with some CDs on the superior quality sound system used for this event. Your music will be
downloaded exclusively for the 2014 NCA & NDA Collegiate Cheer and Dance Championship and will be discarded following the conclusion of the
championship.
If you choose to download your music, in the remote case a malfunction occurs, you will be allowed to perform again. If the malfunction occurs
within the first 30 seconds of the routine, you may choose to perform again, and will be given five minutes to regroup. If the malfunction occurs 31
seconds into the routine or beyond, you may choose to perform again, and will be given ten minutes to regroup. If you choose not to download your
music and a malfunction occurs with your CD during a performance, you will not have another opportunity to perform again.
PLEASE PRINT CLEARLY
FIRST NAME
LAST NAME
UNIVERSITY OR COLLEGE NAME
EMAIL ADDRESS
CELL PHONE NUMBER
DIVISION
(Please list the division in which you will be competing during the NCA & NDA Collegiate Cheer and Dance Championship)
Please select one of the following three options for music download:
• Send your CD along with this form to be RECEIVED in the NCA & NDA office before April 1, 2014 to:
College Nationals Music Download,
2010 Merritt Drive, Garland, TX. 75041
• Email this completed form and an MP3 or WAV file to: nca_music@yahoo.com by April 1, 2014.
Note: FILE MAY NOT EXCEED 20 MB
• Schedule an appointment for April 9, 2014, at the Daytona Beach Hilton during check-in.
You may request an appointment by emailing nca_music@yahoo.com
For tips and suggestions concerning Music Information (Production, Capture, Audio Peak Detection, Audio Gain and Normalization, and
Mixing and Output), follow this link: http://nca.varsity.com/pdfs/music_information.pdf
I ____agree/____ decline to have my music downloaded. If marked “agree”, I have listed the downloaded music for my team and agree it is the same as the original music on the
master CD. I have timed the downloaded music and it meets the maximum time limit. If marked “decline”, I understand should malfunction occur with my CD during a performance, I
will not have another opportunity to perform again. NOTE: NCA & NDA personnel assisting with the music download process are instructed not to comment on and are not in any way
responsible for determining whether the music being downloaded is appropriate or inappropriate.
_____________________________________________________________________________
Signature
Date
Office Use Only
Track Name

NCA & NDA COLLEGIATE
CHEER AND DANCE CHAMPIONSHIP
Bandshell, Ocean Center, Peabody Auditorium | Daytona Beach, FL | April 9-13, 2014
Team Name
College Nationals
Name of Event Attending
THE COACH IS RESPONSIBLE FOR FILLING OUT THIS ROOMING LIST FORM.
Please check the boxes which are applicable, letting NCA & NDA know if you are a Coach, Participant or Spectator, male or female. Spectators must submit a separate rooming list for
The Shores Resort spectator package. If necessary, please make additional copies to accommodate large room needs.
*TRIPLE PACKAGES MAY CONSIST OF A KING BED AND A ROLLAWAY/SLEEPER SOFA; DOUBLE PACKAGES MAY CONSIST OF A KING BED.
**NCA IS NOT RESPONSIBLE FOR THE PHYSICAL MAKE-UP OF THE ROOMING LIST. ALL INQUIRES FROM PARENTS WILL BE DIRECTED TO THE COACH.
***NO PARTICIPANTS ALLOWED IN SINGLE ROOMS.
P = PARTICIPANT S = SPECTATOR C = COACH M = MALE F = FEMALE
Room 1
P S C M F Room 6
P S C M F
1.___________________________________ q q q q q 1.___________________________________ q
2.___________________________________ q q q q q 2.___________________________________ q
3.___________________________________ q q q q q 3.___________________________________ q
4.___________________________________ q q q q q 4.___________________________________ q
q q q q
q q q q
q q q q
q q q q
Arrival Date:__________________
Departure Date:____________________
Arrival Date:__________________
Departure Date:____________________
Room 2
P S C M F Room 7
P S C M F
1.___________________________________ q q q q q 1.___________________________________ q
2.___________________________________ q q q q q 2.___________________________________ q
3.___________________________________ q q q q q 3.___________________________________ q
4.___________________________________ q q q q q 4.___________________________________ q
q q q q
q q q q
q q q q
q q q q
Arrival Date:__________________
Departure Date:____________________
Arrival Date:__________________
Departure Date:____________________
Room 3
P S C M F Room 8
P S C M F
1.___________________________________ q q q q q 1.___________________________________ q
2.___________________________________ q q q q q 2.___________________________________ q
3.___________________________________ q q q q q 3.___________________________________ q
4.___________________________________ q q q q q 4.___________________________________ q
q q q q
q q q q
q q q q
q q q q
Arrival Date:__________________
Departure Date:____________________
Arrival Date:__________________
Departure Date:____________________
Room 4
P S C M F Room 9
P S C M F
1.___________________________________ q q q q q 1.___________________________________ q
2.___________________________________ q q q q q 2.___________________________________ q
3.___________________________________ q q q q q 3.___________________________________ q
4.___________________________________ q q q q q 4.___________________________________ q
q q q q
q q q q
q q q q
q q q q
Arrival Date:__________________
Departure Date:____________________
Arrival Date:__________________
Departure Date:____________________
Room 5
P S C M F Room 10
P S C M F
1.___________________________________ q q q q q 1.___________________________________ q
2.___________________________________ q q q q q 2.___________________________________ q
3.___________________________________ q q q q q 3.___________________________________ q
4.___________________________________ q q q q q 4.___________________________________ q
q q q q
q q q q
q q q q
q q q q
Arrival Date:__________________
Departure Date:____________________
Arrival Date:__________________
Departure Date:____________________

NCA & NDA COLLEGIATE
CHEER AND DANCE CHAMPIONSHIP
Bandshell, Ocean Center, Peabody Auditorium | Daytona Beach, FL | April 9-13, 2014
ELIGIBILITY FORM
Please complete the information below on EACH coach and participant attending the 2014 NCA & NDA Collegiate Cheer & Dance
Championship, as well as your respective school information. This information must be completed and turned in at the NCA & NDA
check-in desk on April 9, 2014. This information must be confirmed, authorized and approved by your institution’s Registrar’s Office in
order for your team to compete. Each participating cheer team MUST have at least one AACCA certified coach in order to participate.
Please PRINT or TYPE.
Name of School:
Division:
Select one: q Cheer q Dance
1.
COACHES’ NAMES AACCA CERTIFIED (CHEER ONLY) DATE CERTIFIED
(YES / NO)
2.
I certify that the participants listed below are current and eligible members of the above referenced team. I also certify that if the
team listed above is a cheer team and the team and all its members abide by the AACCA College Cheerleading Safety Rules at all
times throughout the entire year. I acknowledge that misrepresentation of either of these could result in disqualification from the
Championship.
Head Coaches’ Signature
Date
PARTICIPANT’S NAME HOURS CURRENTLY ENROLLED YEARS OF ELIGIBILITY COMPLETED
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.

NCA & NDA COLLEGIATE
CHEER AND DANCE CHAMPIONSHIP
Bandshell, Ocean Center, Peabody Auditorium | Daytona Beach, FL | April 9-13, 2014
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
I certify that all the above listed participants meet the eligibility requirements of
(university) to be a current and active member of the above listed team participating in the 2014 NCA & NDA Collegiate Cheer & Dance
Championship April 9-13, 2014.
This form must be signed by the coach above, as well as signed by the school’s Registrar’s Office and school Administrative Supervisor.
Registrar’s Signature:
Print Name:
Date:
Administrative Supervisor Signature:
Print Name:
Date:

NCA & NDA COLLEGIATE
CHEER AND DANCE CHAMPIONSHIP
Bandshell, Ocean Center, Peabody Auditorium | Daytona Beach, FL | April 9-13, 2014
TEAM GROUP ARRIVAL FORM
THIS FORM IS MANDATORY.
Please fill out the following information and fax back to NCA & NDA by March 28, 2014. This information will assist in having
your rooms available when you arrive. Fax completed form to 972.840.4054, attention NCA & NDA College Nationals.
Name of Group:
Group Leader:
Hotel:
# of rooms utilizing? # of nights for each room?
If FLYING, Please fill out the following information:
AIRPORT ARRIVAL INFORMATION
Which Airport?
Arrival Time?
How are you getting to the Hotel, check one: q Van q Bus q Taxi q NCA & NDA Shuttle
If DRIVING, Please fill out the following information:
BUS / SHUTTLE / VAN ARRIVAL / DEPARTURE INFORMATION
Vehicle Type:
Arrival Time:
Departure Time:

NCA COLLEGE NATIONALS CHEER PERFORMANCE OUTLINE SHEET
SCHOOL NAME: DIVISION:
CATEGORY: 5 - 6 SKILLS / (#) 6 - 7 SKILLS / (#) 7 - 8 SKILLS / (#) 8 - 9 SKILLS / (#) 9 - 9.5 SKILLS / (#) 9.5 - 10 SKILLS / (#)
1. 1. 1. 1. 1. 1.
PARTNER
STUNTS
2. 2. 2. 2. 2. 2.
3. 3. 3. 3. 3. 3.
4. 4. 4. 4. 4. 4.
5. 5. 5. 5. 5. 5.
CATEGORY: 5 - 6 SKILLS / (#) 6 - 7 SKILLS / (#) 7 - 8 SKILLS / (#) 8 - 9 SKILLS / (#) 9 - 10 SKILLS / (#)
1. 1. 1. 1. 1.
2. 2. 2. 2. 2.
TUMBLING
3. 3. 3. 3. 3.
4. 4. 4. 4. 4.
5. 5. 5. 5. 5.
1. 1. 1. 1. 1.
2. 2. 2. 2. 2.
PYRAMIDS
3. 3. 3. 3. 3.
4. 4. 4. 4. 4.
5. 5. 5. 5. 5.
1. 1. 1. 1. 1.
BASKET
TOSSES
2. 2. 2. 2. 2.
3. 3. 3. 3. 3.
4. 4. 4. 4. 4.
5. 5. 5. 5. 5.
1. 1. 1. 1. 1.
2. 2. 2. 2. 2.
JUMPS
3. 3. 3. 3. 3.
4. 4. 4. 4. 4.
5. 5. 5. 5. 5.

NDA CHAMPIONSHIPS
College Team Performance Routine Outline
SCHOOL or TEAM NAME
DIVISION
COACH NAME
TEAM PERFORMANCE ROUTINE REQUIREMENTS
Routines must clearly encompass at least 30 consecutive seconds of all three styles: Jazz, Pom and Hip Hop.
Each style will be judged. Please refer to the NDA College Rule Book for additional information and routine requirements.
Please list your routine in chronological order, including an introduction and ending, if applicable.
BEGINNING
TIME
END
TIME
TOTAL
TIME
STYLE
(POM, JAZZ, HIP HOP)
MUSICAL
NOTES
Example:
00:00
00:30 30 Seconds Jazz Section
From beginning
to the siren
sound effect

NCA & NDA COLLEGIATE
CHEER AND DANCE CHAMPIONSHIP
Bandshell, Ocean Center, Peabody Auditorium | Daytona Beach, FL | April 9-13, 2014
CREDIT CARD AUTHORIZATION FORM
School Name:
Coach Name:
Customer Number:
Event/Session Code:
COLLEGE NATIONALS
Invoice Number:
Credit Card Number:
Expiration Date:
Name on Card:
Billing Address:
Billing Zip Code:
Phone Number:
Amount to Charge:
Signature (as name appears on credit card):
Your credit card will be charged the amount specified above. Please re-read the payment schedule and
information pertaining to refunds, cancellations and credit card charges. By submitting this authorization form,
you acknowledge and accept it’s contents.
For your security, please do not email this form. Complete and return by fax or mail.
• FAX completed form to: 972.840.4054
• MAIL completed form to: 2010 Merritt Drive Garland, TX 75041

NCA & NDA COLLEGIATE CHEER AND DANCE CHAMPIONSHIP
TEAM BIO FORM
Please take the time to completely fill out this form - a separate one for each team in the competition. The information you
share will be used to produce Championship related content for varsity.com, Varsity TV and our TV show on CBS Sports. Make
sure your team gets the recognition they deserve! Turn in completed form during event registration or email at least 1 week
prior to Jessica Green at jgreen@varsity.com.
School Name
Team Name
Division
Number of athletes competing on floor
Captain’s Name(s)
Head Coach’s Name
Additional Coaches’ Name(s)
Team Traditions
City & State
Team Nickname (if any)
Team Colors
Mascot
Team Goals
How many years have you attended College Nationals?
Last year’s placement
List all NCA or NDA titles won
Strongest part of your routine
What part of your routine should we be sure and not miss?
Coach’s contact number at event
Any additional information you’d like to share about your team
Coach’s Email
Team Twitter Handle
Team Facebook Page
Official Team Hashtag
Team Instagram

NCA/NDA CHAMPIONSHIP RELEASE AND WAIVER
***PARTICIPANT ***
PAGE 1 of 2
Every Participant must have a completed and signed release form to turn in at registration in order to participate. ALL areas must be
completed. Please photocopy and distribute to each person attending the event. Coach/Director must retain a photocopy of
each completed form for your records and keep them with the team throughout the event.
_______________________________________
Minor's Name
_______________________________
Address
_________________________________
City, State & Zip
(______)_________________________
Phone Number
_________________________________
Participant Email Address
_________________________________
Name of Parent / Legal Guardian
_________________________________
School/Gym Name
_________________________________
School/Gym Address
_________________________________
School/Gym City, State & Zip
(______)_________________________
School /Gym Phone Number
_________________________________
Name of Event
_________________________________
City, State of Event
____________________ Squad Type:
Event Dates
Cheer
Dance
Liability Release. For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I _______________, as parent or legal guardian of
_________________________________, a minor (hereinafter "Minor"), hereby grant the permission necessary to allow Minor to participate in the above Event to be
conducted by Varsity Spirit Corporation (“Varsity Spirit”), d / b / a National Cheerleaders Association ("NCA") and/or d / b / a National Dance Alliance ("NDA".) I, in
my own behalf and on behalf of the Minor, further agree to release and to hold harmless Varsity Spirit, the Hosting site, (university, hotel, convention center, high school) on
whose premises the Event will occur (hereinafter the "Location") the affiliates of Varsity Spirit and the Location, and the respective directors, officers, representatives,
members, agents and employees of Varsity Spirit, Sponsors, the Location and their respective affiliates (hereinafter collectively "Releasees") from any and all liability whether
caused by negligence of the Releasees or otherwise for any claim judgment, loss, liability, cost and expenses (including, without limitations, attorney's fees and costs) arising
out of or connected with the Event, including any claim arising out of or connected with any illness or injury (minimal, serious, catastrophic and / or death) that the Minor
may incur or sustain during the Event, all activities associated with the Event and while traveling to and from the site for the Event whether or not the Event actually occurs.
I further expressly agree to indemnify and hold harmless Releasees and Releasees' heirs, successors, assigns, executors and administrators against loss from any further claims,
demands or actions that may subsequently be brought by Minor or by any other persons on the account of damages of any character resulting to Minor in any way from the
foregoing activities. I further agree to reimburse and to make good to Releasees any loss, or costs Releasees may have to pay as a result of any such action, claim, or demand.
I, in my own behalf and on behalf of the Minor, hereby warrant that I have read this Liability Release in its entirety and fully understand its contents.
I, in my own behalf and on behalf of the Minor, am aware that this Liability Release releases Releasees from liability and contains an acknowledgement of my voluntary and
knowing assumption of the risk of injury or illness. I, in my own behalf and on behalf of the minor, further acknowledge that nothing in this Liability Release constitutes a
guarantee that the Event will occur. I, in my own behalf and on behalf of the Minor, have signed this document voluntarily and of my own free will.
Signature of Parent or Legal Guardian: ____________________________________________
Date:__________________________________
Medical Release. I, in my own behalf and on behalf of the minor, acknowledge and agree that such participation subjects Minor to possibility of physical illness or injury
(minimal, serious, catastrophic and/ or death) and that I, in my own behalf and on behalf of the Minor, acknowledge that the Minor is assuming the risk of such illness or
injury by participating in the Event. In the event of such illness or injury, I authorize Varsity Spirit to obtain necessary medical treatment of the minor and hereby, in my
own behalf and on behalf of the Minor, release and hold harmless Releasees in the exercises of this authority. I further acknowledge and understand that I will be
responsible for any and all medical and related bills that may be incurred on behalf of the Minor for any illness or injury that the Minor may sustain during the Event and
while traveling to and from the site for the Event whether or not the Event actually occurs.
Appearance Agreement. I understand that Varsity Spirit d / b / a NCA and / or NDA from time to time produces promotional material relating to its programs. I
understand that as a participant and/ or a spectator at the Event that Minor may be included in videotapes, photographs, DVDs, podcasts, and videocasts taken during the
Event. Therefore, without reservation or limitations, I, in my own behalf and on behalf of the Minor, hereby assign, transfer and grant to Varsity Spirit d / b / a NCA and /
or NDA, its successors, assignees, licensees, sponsors, any television networks, and all other commercial exhibitors the exclusive right to photograph and / or videotape the
Minor and to utilize such videotapes and photographs and Minor's name, face likeness, voice and appearance as a part of the Event, in advertising and promoting the Event
or in advertising and promoting similar future events. I further understand that neither Varsity Spirit nor any third party is under any obligation to exercise any of the
foregoing rights, licenses and privileges. I, in my own behalf and on behalf of the minor, waive any right to inspect or approve the copies of any promotional materials
related thereto.
Third Party Agreement. I understand that Varsity Spirit d / b / a NCA and / or NDA from time to time disclose participants information to third parties who agree to
the confidential nature of the information.
Event Rules. I further acknowledge and understand that Varsity Spirit has established rules and regulations pertaining to conduct, behavior and activities of all Event
participants, by which Minor and I agree to abide during the Event (copy of which is listed on the back of this form), and that Minor and I will be responsible for
his/her/my failure to abide by those rules and regulations. Minor and I have received, read and understand the Event rules. Minor and I understand that violation of the
rules can result in dismissal from Event with no refund.
Supervision. A Chaperone/Adult (age 21 or over) is required to attend with participants. This Chaperone will be responsible for the participants at all times including but
not limited to swimming, beach activity, cheer/dance practice outside of competition, free time at event site or hotel. Varsity Spirit d / b / a NCA and / or NDA is not
responsible for participants’ supervision.

Insurance Information
The following information is REQUIRED for participation.
PAGE 2 of 2
Parent’s Name:______________________________________________________________
Insurance Company:______________________________________________________________________________________________________________
Insurance Company Address:_______________________________________________________________________________________________________
Medical Insurance Policy/Group Number - REQUIRED:_______________________________ Insurance Company Phone # :________ - ________- _______
Emergency Information: Name to contact:____________________________________ Address:_______________________________________
City, State, Zip:_____________________________________ Cell Phone Number: ( )_________________________
Daytime Telephone: ( )___________________________ Evening Telephone: ( )_________________________
I represent that any medication to which Minor is allergic or medications that Minor is currently taking are listed below. I agree that Minor shall bring medications which
Minor is currently taking with him / her to the Event and that he / she shall consume the prescribed dosage for such medications. NSG will not administer or supply any
type of medication at event.
Medications (if any):______________________________________________________________________________________________________________
Allergic to (if any):________________________________________________________________________________________________________________
I acknowledge that the Minor suffers from the following conditions:__________________________________________________________________________
Family Doctor:________________________________________________________________ Phone Number: ( )___________________________
I, in my own behalf and on behalf of the Minor, hereby warrant that I have read this Participant Release and Waiver Form in its entirety and fully understand its contents. I,
in my own behalf and on behalf of the Minor, am aware that this Participant Release and Waiver Form releases Releasees from liability and contains an acknowledgement of
my voluntary and knowing assumption of the risk of injury or illness. I, in my own behalf and on behalf of the minor, further acknowledge that nothing in this Participant
Release and Waiver Form constitutes a guarantee that the Event will occur. I, in my own behalf and on behalf of the Minor, have signed this document voluntarily and of my
own free will. Minor and I understand that Sponsors may distribute samples of their products at the event.
Signature of Parent or Legal Guardian: X____________________________________________
Relationship to Minor:__________________________________________________________
Date:_________________________________________
Minor Birthdate:________________________________
I, identified above as Minor, acknowledge that I have read this Release and Waiver form.
Signature of Minor:X___________________________________________________________
Witness Signature:_____________________________________________________________
Witness Address:______________________________________________________________
Date:_________________________________________
Date:_________________________________________
EVENT RULES
General Championship Rules
1. Cheering, chanting and dancing will be practiced in designated areas ONLY.
2. Squads / teams must be on time to all scheduled practices and performances.
3. Please leave valuables at home (rings, jewelry, etc.). NCA / NDA will not be responsible for lost or stolen items.
4. Participants may not wear unapproved jewelry of ANY kind at any time during practice or performances. Teams with participants that
do not comply will be assessed a legality point deduction.
5. Should an injury occur during your assigned practice or performance times, please contact an NCA/NDA trainer or member of the
NCA/NDA corporate staff.
6. Smoking at championships & events is prohibited, and the use or possession of alcohol or other illegal substances is prohibited.
7. Hazing or initiations of any type is prohibited.
8. If attending an event as a resident, all participants must follow these basic rules: A) No running or unnecessary noise in the halls.
B) Always lock your door when you leave the room and when you are in your room. Do not prop doors open. C) There will be no
tumbling, horseplay, partner stunts or practicing in the hotel / resort except in designated practice areas. D) Any damage to the room
will be charged to your group. Be sure to leave your room as clean as you found it.
9. NCA and NDA fervently encourage and support sportsmanship, integrity and fairness among all participants and
coaches/advisors/directors in all facets of cheerleading and dance, including but not limited to team practice and performance. NCA
and NDA maintain and enforce a zero tolerance policy for unsportsmanlike conduct by any and all its championship patrons. NCA and
NDA reserve the right to remove participants, coaches/directors/advisors, or spectators from the performance venue and/or hotel
should offensive or inappropriate behavior toward other participants, coaches/directors/advisors, officials or spectators occur.
In addition to the general rules above, the following rules apply to all Championships:
1 . NCA/NDA is not responsible for participants’ supervision.
2. Participants must have an adult chaperone/coach/director, for participants’ supervision, in attendance at all times during the
championship.
3. Only coaches / directors should approach the NCA / NDA Event Tent to resolve disputes. Spectators or participants will NOT be
allowed to pursue disputes.

NCA/NDA CHAMPIONSHIP RELEASE AND WAIVER
***ADULT*** (ADVISOR/COACH/CHAPERONE)
Every Advisor/Coach/Chaperone must turn in this completed and signed form at the designated check-in/registration area. ALL areas
must be completed. Please photocopy and distribute to each adult attending the event. Coach/Director must retain a photocopy
of each completed form for his/her records.
_______________________________________
Name
_______________________________
Address
_________________________________
City, State & Zip
(______)_________________________
Phone Number
_________________________________
Email Address
_________________________________
School/Gym Name
_________________________________
School/Gym Address
_________________________________
School/Gym City, State & Zip
(______)_________________________
School/Gym Phone Number
Are you employed by the school or school
district?
Yes
No
_________________________________
Name of Event
_________________________________
City, State of Event
____________________ Squad Type:
Event Dates
Cheer
Dance
Check here if you are the
Advisor/Coach
Check if you are a Chaperone
Are you over 21 years of age?
Yes No
Liability Release. For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I agree to participate in the above
Event to be conducted by Varsity Spirit Corporation (“Varsity Spirit”), d / b / a National Cheerleaders Association ("NCA") and/or d / b /a National
Dance Alliance ("NDA"). I further agree to release and to hold harmless Varsity Spirit, the Hosting site (university, hotel, convention center, high school)
on whose premises the Event will occur (hereinafter the "Location") the affiliates of Varsity Spirit, the Location, and the respective directors, officers,
representatives, members, agents and employees of Varsity Spirit, Sponsors, the Location and their respective affiliates (hereinafter collectively "Releasees")
from any and all liability whether caused by negligence of the Releasees or otherwise for any other claim judgment, loss, liability, cost and expenses
(including, without limitations, attorney's fees and costs) arising out of or connected with the Event, including any claim arising out of or connected with
any illness or injury (minimal, serious, catastrophic and / or death) that I may incur or sustain during the Event, all activities associated with the Event and
while traveling to and from the site for the Event whether or not the Event actually occurs. I further expressly agree to indemnify and hold harmless
Releasees and Releasees' heirs, successors, assigns, executors and administrators against loss from any further claims, demands or actions that may
subsequently be brought by me or by any other persons on the account of damages of any character resulting to me in any way from the foregoing
activities. I further agree to reimburse and to make good to Releasees any loss, or costs Releasees may have to pay as a result of any such action, claim, or
demand.
I hereby warrant that I have read this Liability Release in its entirety and fully understand its contents. I am aware that this Liability Release releases
Releasees from liability and contains an acknowledgement of my voluntary and knowing assumption of the risk of injury or illness. I further acknowledge
that nothing in this Liability Release constitutes a guarantee that the Event will occur. I have signed this document voluntarily and of my own free will.
Signature : ______________________________________________________________________ Date:__________________________________
Medical Release. I acknowledge and agree that such participation subjects me to possibility of physical illness or injury (minimal, serious, catastrophic
and/ or death) and that I acknowledge that I am assuming the risk of such illness or injury by participating in the Event. In the event of such illness or
injury, I authorize Varsity Spirit to obtain necessary medical treatment for me and hereby release and hold harmless Releasees in the exercises of this
authority. I further acknowledge and understand that I will be responsible for any and all medical and related bills that may be incurred by me for any
illness or injury that I may sustain during the Event and while traveling to and from the site for the Event whether or not the Event actually occurs.
Appearance Agreement. I understand that Varsity Spirit d / b / a NCA and / or NDA, from time to time produces promotional material relating to its
programs. I understand that as a participant and/ or a spectator at the Event I may be included in videotapes, photographs, DVDs, podcasts, and
videocasts taken during the Event. Therefore, without reservation or limitations, I hereby assign, transfer and grant to Varsity Spirit d / b / a NCA and /
or NDA, its successors, assignees, licensees, sponsors, any television networks, and all other commercial exhibitors the exclusive right to photograph and /
or videotape me and to utilize such videotapes and photographs and my name, face likeness, voice and appearance as a part of the Event, in advertising
and promoting the Event or in advertising and promoting similar future events. I further understand that neither Varsity Spirit nor any third party is under
any obligation to exercise any of the foregoing rights, licenses and privileges. I waive any right to inspect or approve the copies of any promotional
materials related thereto.
Third Party Agreement. I understand that Varsity Spirit d / b / a NCA and / or NDA from time to time disclose participants/coach information to
third parties who agree to the confidential nature of the information.
Event Rules. I further acknowledge and understand that Varsity Spirit has established rules and regulations pertaining to conduct, behavior and activities
of all Event participants, by which I agree to abide during the Event (copy of which is listed on the back of this form), I will be responsible for my failure
to abide by those rules and regulations. I have received, read and understand the Event rules. I understand that violation of the rules can result in
dismissal from Event with no refund.
Supervision. A Chaperone/Adult (age 21 or over) is required to attend with participants. This Chaperone will be responsible for the participants at all
times including but not limited to swimming, beach activity, cheer/dance practice outside of competition and free time at event site or hotel. Varsity Spirit
d / b / a NCA and / or NDA is not responsible for participants’ supervision.
PAGE 1 of 2

Insurance Information
The following information is REQUIRED for participation.
Insurance Company:______________________________________________________________________________________________________________
Insurance Company Address:_______________________________________________________________________________________________________
Medical Insurance Policy/Group Number - REQUIRED:_______________________________ Insurance Company Phone # :________ - ________- _______
Emergency Information: Name to contact:____________________________________ Address:_______________________________________
City, State, Zip:_____________________________________ Cell Phone Number: ( )_________________________
Daytime Telephone: ( )___________________________ Evening Telephone: ( )_________________________
I represent that any medication to which I am allergic or medications that I am currently taking are listed below. I agree that I shall bring medications which I am currently
taking with me to the Event and that I shall consume the prescribed dosage for such medications. NSG will not administer or supply any type of medication at event.
Medications (if any):______________________________________________________________________________________________________________
Allergic to (if any):________________________________________________________________________________________________________________
I acknowledge that I suffer from the following conditions:______________________________________________________________________________________
Family Doctor:__________________________Phone Number: ( )____________ Birthdate:________________ SS#______________________
(not required but helpful for quick
verification of insurance policy by
hospital/clinic)
I hereby warrant that I have read this Adult Release and Waiver Form in its entirety and fully understand its contents. I am aware that this Adult Release and Waiver Form
releases Releasees from liability and contains an acknowledgement of my voluntary and knowing assumption of the risk of injury or illness, acknowledge that nothing in this
Adult Release and Waiver Form constitutes a guarantee that the Event will occur and have signed this document voluntarily and of my own free will. I understand that
Sponsors may distribute samples of their products at the event.
Signature of Adult:_____________________________________________________________
Witness Signature:______________________________________________________________
Date:_______________________________________________
Date:________________________________________________
Witness Address:_______________________________________________________________
SAFETY, COMPLIANCE, AND SPORTSMANSHIP
1. I understand that cheerleading/dance is an athletic activity, which requires proper training and supervision.
2. I understand it is my ethical duty to put the interest and safety of my athletes first, and not to put cheerleaders/dancers at unnecessary risk.
3. I agree to follow all safety and performance guidelines both by the letter and spirit of the rule.
4. I agree to abide by the eligibility stipulations for divisions as determined by NCA/NDA. I understand that if a violation is reported, I may be required to supply
eligibility verification to event officials.
5. I will accept all judges’ rulings as final.
6. I will support the Championship outcome and represent my program with integrity.
7. I understand my position as a role model for my team and will conduct myself in a professional manner.
8. I will display good sportsmanship and require the same of my cheerleaders/dancers.
NO VIDEO CAMERA AND TELEPHOTO LENSES
1. Because we take the safety and security of our participants seriously, our policy is to protect your privacy and that of all participants.
2. Audience use of telephoto lenses and video cameras including video capable digital cameras/camera phones will not be allowed.
3. Unauthorized users of such equipment will be escorted from our events.
4. I acknowledge that I will communicate this information to all parents and supporters of participants from the school/gym I represent at this event.
Signature of Adult:_____________________________________________________________
Date:_______________________________________________