2012 NCA Senior & Junior High School National Championship ...

2012 NCA 

Senior & Junior High School 

National Championship 

January 7-8, 2012 Dallas, Texas 

Dallas Convention Center 

Championship Package 

• Two (2) night’s accommodations at the Sheraton Dallas 

(resident package only). 

• Shuttle service between the Sheraton Dallas and Dallas 

Convention Center (resident package only) 

• Registration for the championship (participants only) 

• Commemorative Gift (participants and coaches only) 

• Free admission into all performances for spectators 

($40.00 value) 

Note about commuter packages: Includes all ammenties of 

the championship package except hotel accomodations and 

shuttle service. 

Itinerary 

Friday, January 6 - Registration 

Resident Packages Only: 

Depart for Dallas/Ft. Worth or Love Field. Welcome to Dallas... 

home of NCA! Hotel check-in cannot be guaranteed until after 

4:00 p.m. Only those staying at the host hotel will be allowed to 

practice on-site. Event Check-in and Practice will take place at 

the Dallas Convention Center. 

COACHES MEETINGS 

NCA will offer multiple meetings to all coaches to wrap up any last 

minute championship questions you may have on check-in day. 

ONE COACH PER TEAM IS REQUIRED TO ATTEND! 

Championship Check-In: 

All coaches must check-in at the NCA Welcome Desk located at the 

Dallas Convention Center on Friday, January 6, 11:00 a.m. - 9:00 p.m. 

NEW in 2012! All teams can sign up for a practice time - 

with Resident Package Teams given fi rst preference. 

Saturday, January 7 

Preliminary competition for all performance divisions will be at the 

Dallas Convention Center. Finals for Game Time will take place 

on Jan. 7th. Note: Game Time categories compete once. Doors 

are tentatively scheduled to open one hour prior to the fi rst 

performance. 

Sunday, January 8 

Final competition for all divisions will be at the Dallas Convention 

Center. Note: If fl ying do NOT book return fl ights earlier than 8:00 

p.m. *Due to enrollments, all times are subject to change. 

For more info call: 1-800-NCA-2WIN (622-2946) 

Get complete safety rules and guidelines at NCA.varsity.com 

Accommodations 

Additional room nights at the Sheraton may be purchased at the 

“NCA rate” of $135 per room night (tax included). Make note of 

any additional room nights on the event rooming list and/or the 

registration form. Your invoice will refl ect these additional charges. 

Transportation 

Go through TravelFocus and experience the service you 

deserve… at a great rate! 

Check out our discounted Airport Transfers (before securing other 

travel arrangements)! You may contact TravelFocus at 1.866.854.3115 

or email varsitybrands@travelfocus.com for a travel quote. 

Shuttle Service between the Sheraton and the Dallas Convention 

Center will be provided only for participants, coaches and 

spectators who purchase a resident championship package. 

NCA Team Placement Program 

This program was put in place for all traveling teams not using the 

NCA Championship Resident Package. If you are staying in a hotel 

in the DFW area, you are required to utilize one of the NCA hotel 

blocks. Numerous hotels around the DFW Metroplex have been 

blocked for your ease and convenience in booking. 

NOTE: If you are utilizing the NCA resident package, you must 

complete required forms included in this information packet. 

More details coming soon.






Total per person if Total per person if Total per person if 

Package Type postmarked on or postmarked before postmarked after 

before Oct. 30 Nov. 30 Nov. 30 

PERFORMANCE (PF) & GAME TIME (GT) PARTICIPANTS 

Quad (Performance Division ONLY) $294 $304 $314 

Triple (Performance Division ONLY) $324 $334 $344 

Double (Performance Division ONLY) $344 $354 $364 

Commuter (Performance Division ONLY) $154 $164 $174 

Quad (PF + 1 GT Division) $304 $314 $324 

Triple (PF + 1 GT Division) $334 $344 $354 

Double (PF + 1 GT Division) $354 $364 $374 

Commuter (PF + 1 GT Division) $164 $174 $184 

Quad (PF + 2 GT Divisions) $314 $324 $334 

Triple (PF + 2 GT Divisions) $344 $354 $364 

Double (PF + 2 GT Divisions) $364 $374 $384 

Commuter (PF + 2 GT Divisions) $174 $184 $194 

Quad (PF + 3 GT Divisions) $324 $334 $344 

Triple (PF + 3 GT Divisions) $354 $364 $374 

Double (PF + 3 GT Divisions) $374 $384 $394 

Commuter (PF + 3 GT Divisions) $184 $194 $204 

GAME TIME ONLY PARTICIPANT PACKAGES 

Quad (1 GT Division) 

Triple (1 GT Division) 

Double (1 GT Division) 

Commuter (1 GT Division) 

$244 

$274 

$294 

$79 

$254 

$284 

$304 

$88 

$264 

$294 

$314 

$99 

Quad (2 GT Divisions) 

Triple (2 GT Divisions) 

Double (2 GT Divisions) 

Commuter (2 GT Divisions) 

$254 

$284 

$304 

$89 

$264 

$294 

$314 

$99 

$274 

$304 

$324 

$109 

Quad (3 GT Divisions) 

Triple (3 GT Divisions) 

Double (3 GT Divisions) 

Commuter (3 GT Divisions) 

$264 

$294 

$314 

$99 

$274 

$304 

$324 

$109 

$284 

$314 

$334 

$119 

GT = Game Time Division (specifi c divisions on registration form) PF = Perfomance Division 

SPECTATORS/COACHES PACKAGES 

Quad 

Triple 

Double 

Single 

Commuter (Coaches ONLY) 

$254 

$274 

$304 

$504 

$154 

$264 

$284 

$314 

$514 

$164 

$274 

$294 

$324 

$524 

$174 

NOTE: For the fi rst two registered teams, you will receive 2 FREE Commuter Coaches per team. For every additional registered team, you will receive 1 FREE Commuter Coach. For 

resident coaches, the commuter rate will be subtracted from your package price while following the same criteria above. Spectator Admission to the event will be $20 per day. For 

your convenience, you may purchase two day pass prior to the event at the Sheraton or anytime during the event at the Dallas Convention Center. Two day pass will be $35 per person. 

Division Change Deadline 

Teams making division changes between December 10th 

and December 30th will be charged $500. No division changes 

will be accepted after December 31st. 

Deposit 

A $30 per person deposit is required at the time of registration. 

For more info call: 1-800-NCA-2WIN (622-2946) 

Get complete safety rules and guidelines at NCA.varsity.com 

Balance 

All remaining balances are due on November 30th. 

All payments made after November 30th must be in the 

form of a cashier’s check, credit card or money order. 

Cancellation Fee Per Person 

On or before Nov. 30 $30 per person 

Dec. 1 - Dec. 20 $100 per person 

On or after Dec. 21 All fees are non-refundable






INFORMATION YOU NEED TO KNOW 

CONTACT NUMBERS 

For questions regarding event schedules, legalities or championship registration: NCA/NDA, P.O. Box 660359, Dallas, Texas 75266-0359. 

Phone: 1-800-NCA-2-WIN (622-2946), Fax: 972-840-4054 or view the Rules and Guidelines online at NCA.varsity.com. 

NOW YOU’RE READY TO REGISTER! 

Complete and mail in all registration forms and non-refundable per person deposits before the deadline to: 

NCA Championship Registration, P.O. Box 660359, Dallas, Texas 75266-0359. 

Via UPS or Federal Express overnight: NCA Championship Registration, 2010 Merritt Drive, Garland, Texas 75041 

Information you need to know regarding deposits and payments: 

CHECKS/MONEY ORDERS/CASHIER’S CHECKS (See next page for credit card payment option) 

When mailing in payment(s) please include: 

1. Name of team 

2. Customer Number (with fi nal balance) 

3. Contact phone number 

Note: Teams must submit one check, money order, cashier’s check or credit card with their registration. If one payment is to be applied to more 

than one team, please indicate the amount to be credited to each team. 

• Checks should be made payable to NCA. You may pay by school check, money order, cashier’s check or credit card. Do not send cash. Do not 

send individual checks. No personal checks. 

• Incomplete registrations will not be processed and may result in teams and spectators not being housed in the same hotel, or lack of hotel 

accommodations. Please be sure to complete all required forms prior to sending in your registration. 

• Please confi rm your division at NCA.varsity.com 

Within two weeks of receipt of your completed form(s) and deposit(s), you will receive an invoice and general information regarding the 

championship. 

Final payment is due in the NCA offi ce on or before each due date noted in the event information. Payments not received by these dates will 

result in the Team/Spectator being automatically removed from the event, which will result in a complete forfeiture of all monies paid, 

according to cancellation deadlines for that specifi c event. 

Note: A $30 “returned check” fee will be charged for each insuffi cient funds check. Any payments received after the fi nal 

payment date must be in the form of an offi cial school check, cashier’s check or money order. Personal, school or 

organization checks will not be accepted after the fi nal payment date and will be returned. 

SAVE MONEY AND SEND DEPOSIT BY 10/30/2011!






INFORMATION YOU NEED TO KNOW 

CREDIT CARD PAYMENT OPTION 

Visa, MasterCard, Discover and American Express may be used for payment. ONLY the amount specifi ed on the registration form will be charged 

to your credit card. Final payment will ONLY be charged to your credit card per written request. Charges will be made as follows: 

1. Initial deposit on or before the designated deadline for your event. 

2. Balance due on the designated fi nal payment deadline. 

For your convenience, a credit card authorization form has been included in this packet. 

Note: If you want to add or change a credit card number, you must send the information in writing or fax to NCA. 

No credit cards will be taken over the phone. Individual credit card numbers will not be accepted for team members. 

LATE REGISTRATIONS 

If space is available, late registrations will be accepted after the designated deadlines by sending in the total amount due with your registration. 

If you are registering late, the full payment must be submitted in the form of an offi cial school check, cashier’s check, money order, or credit card. 

The standard cancellation policy will apply to all late registrations. 

CANCELLATIONS AND REFUNDS 

Notifi cation of cancellations and request for refund must be made in writing, and emailed or faxed to NCA. No cancellations will be accepted 

by phone. Cancellations may be faxed to NCA at 972-840-4054. NCA is not responsible for faxes not received. All cancellations must be 

received during business hours: Monday-Friday 8:30 a.m. to 5:00 p.m. CST. If cancellation is not received during these hours, it will be dated the 

next business day. 

ACCOMMODATIONS/ROOMMATE PREFERENCES (Resident Teams Only) 

List the full name(s) of the individuals sharing a room. Registrations for resident packages that do not have a completed rooming list cannot be 

processed until all information is received. Due to hotel requirements, the maximum number of people per room is four. Participants, coaches 

and spectators may room together. In some cases, triple accommodations may consist of a king bed and a rollaway/sleeper sofa. Double 

occupancy may consist of one king bed. There is no guarantee that groups of rooms submitted together will be next to each other in the hotel. 

Additional room nights at the NCA rate are available before or after the actual event date. Please note any additional room nights on the team 

rooming list and/or the spectator registration form. Your invoice will refl ect these additional charges. 

TRAVEL ARRANGEMENTS 

TravelFocus is a team of dedicated travel consultants that will help you arrange your group’s travel. TravelFocus will negotiate group pricing on 

your preferred airline and provide fare comparisons for up to fi ve airlines. For teams who prefer not to fl y, TravelFocus can also assist with and 

negotiate charter bus rates. Questions regarding airline tickets OR travel specifi cs, contact: TravelFocus, Email: varsitybrands@travelfocus.com, 

or Phone: 866-854-3115. *You may also visit our website for travel requests at NCA.varsity.com. 

The championship registration is separate from your team’s travel arrangements and cannot be paid for with one check. Separate payment 

arrangements must be made to TravelFocus. Airfare is determined by seat availability at time of booking. Late reservations may result in 

higher fares. 

GENERAL CONDITIONS FOR TRAVEL FOCUS 

TravelFocus in Dallas, Texas maintains no control over the personnel, equipment, or operation of any air, water or surface carrier, ship line, bus 

or limousine company, transportation company, hotel, restaurant or other person or entity furnishing services, products, or accommodations 

as part of this trip. All of these suppliers are independent contractors. TravelFocus shall not be liable for any injury, damage, loss, expense, 

accident, delay inconveniences, or irregularity which may be caused or contributed to (1) by any wrongful, negligent, or unauthorized act of 

independent contractors, (2) by any defect in failure of any vehicle, equipment, instrumentality, service, product, or accommodation which is 

owned, operated, furnished, or otherwise used by any of these suppliers, (3) by any wrongful, negligent, or unauthorized act or omission on the 

part of any other person or entity not under the direct control of TravelFocus respectively, or (4) by any other cause, condition, or event 

whatsoever beyond the direct control of TravelFocus. 







A separate registration form must be completed for each squad/team participating. This registration will not 

be processed unless all information below is accurate, completed in full and returned with a $30 per person 

non-refundable deposit. Make one check payable to NCA or NDA. Please do not staple payments to this form. 

Please print all information clearly in black/blue ink. 

___________________________________________________________________________________________________________ 

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/Sponsor/Director - All correspondence will be forwarded to the address of the Coach/Sponsor/Director 

___________________________________________________________________________________________________________ 

Contact Email Address 

___________________________________________________________________________________________________________ 

Street Address (no P.O. Box Accepted) 

City 

State 

Zip 

___________________________________________________________________________________________________________ 

Home Number Fax Number Cell Number 

Payment Information 

Number of Participants Resident_________ Commuter_________ X $30 Deposit = $__________ 

Number of Coaches Resident_________ Commuter_________ X $30 Deposit = $__________ 

Number of Spectators Resident_________ X $30 Deposit = $__________ 

Extra Room Nights _________ X $135 Deposit = $__________ 

Total = $__________ 

Coaches receive 2 FREE commuter packages for their first two teams, then 1 FREE commuter package for every additional team. 

See pricing page for resident discounts. 

Select one form of payment: ❑ Check/Money Order ❑ Visa ❑ MasterCard ❑ American Express ❑ Discover Amount: $____________________ 

If paying by check or money order, mail check to: 

NCA High School Nationals 

2010 Merritt Drive, Garland, TX 75041 

NOTE: Please include name of event attending on your check. 

If paying by credit card, please complete the attached credit 

card authorization form and fax or mail to the following: 

FAX: 972-840-4054 

Mail: NCA High School Nationals 

2010 Merritt Drive, Garland, TX 75041 

. 


2012 NCA Senior & Junior High School National Championship 

January 7-8, 2012 Dallas, Texas Dallas Convention Center 

Dear Coach: 

Please list EACH participant competing with your organization as well as their respective performance categories. 

This information must be completed and submitted to NCA at the time of registration. This information must be confi rmed, authorized, and approved 

by your institution’s Principal or School District in order for your team to compete. (Please PRINT or TYPE - make additional copies as needed.) 

Team Name: 

EX. 

1. 

2. 

3. 

4. 

5. 

6. 

7. 

8. 

9. 

10. 

11. 

12. 

13. 

14. 

15. 

16. 

17. 

18. 

19. 

20. 

21. 

22. 

23. 

24. 

25. 

Participant Name 

Age Grade 

Athlete is competing in the following Categories. 

Performance 

Division 

Time-Out 

Cheer Category 

Time-Out 

Dance Category 

Susie Herkimer 16 10 X 

X 

2 

Fight Song 

Category 

Total Routines 

per Participant 

I certify that all the above listed participants meet the eligibility requirements of (school) ___________________________________ to be a 

member of the team participating. (MUST BE SIGNED AND NOTARIZED BY PRINCIPAL OR SCHOOL DISTRICT’S OFFICE) 

Signature:___________________________________________________________________ Date:__________________________________ 

Print Name:__________________________________________________________________ Daytime Phone: _________________________ 

Title:_________________________________________________ Email:_______________________________________________________






TEAM NAME: ______________________________ CONTACT NAME:___________________________ 

NCA Senior & Junior High School National Championship Division Registration Form 

In order to process your registration, please indicate: 

1. Team Name and Contact Name at the top of this form. 

2. Number of Participants (Part.) next to the appropriate division. 

3. Number of Alternates (Alt.) next to the appropriate division. 

2011 - 2012 NCA Divisions 

Please verify your division before completing. 

Cheer Age Number on 

Part. Alt. Division Requirements 

NOVICE DIVISIONS 

Gender Team 

______ ______ Small Novice High School •12th Grade and Below •Female/Male 5-12 Members 

______ ______ Medium Novice High School •12th Grade and Below •Female/Male 13-20 Members 

______ ______ Large Novice High School •12th Grade and Below •Female/Male 21-30 Members 

______ ______ Small Novice JH/MS •9th Grade and Below •Female/Male 5-15 Members 

______ ______ Novice JV/Freshman •12th Grade and Below •Female/Male 5-20 Members 

______ ______ Large Novice JH/MS •9th Grade and Below •Female/Male 16-30 Members 

______ ______ Intermediate Elementary 

INTERMEDIATE DIVISIONS 

•6th Grade and Below •Female/Male 5-30 Members 

______ ______ Small Intermediate High School •12th Grade and Below •Female 5-12 Members 

______ ______ Medium Intermediate High School •12th Grade and Below •Female 13-20 Members 

______ ______ Large Intermediate High School •12th Grade and Below •Female 21-30 Members 

______ ______ Coed Intermediate High School •12th Grade and Below •Female/Male 5-30 Members 

______ ______ Small Intermediate JH/MS •9th Grade and Below •Female/Male 5-15 Members 

______ ______ Intermediate JV/Freshman •12th Grade and Below •Female/Male 5-20 Members 

______ ______ Large Intermediate JH/MS •9th Grade and Below •Female/Male 16-30 Members 

______ ______ Small Advanced High School 

ADVANCED DIVISIONS 

•12th Grade and Below •Female 5-12 Members 

______ ______ Medium Advanced High School •12th Grade and Below •Female 13-20 Members 

______ ______ Large Advanced High School •12th Grade and Below •Female 21-30 Members 

______ ______ Coed Advanced High School •12th Grade and Below •Female/Male 5-30 Members 

______ ______ Advanced JV/Freshman •12th Grade and Below •Female/Male 5-20 Members 

______ ______ Small Advanced JH/MS •9th Grade and Below •Female/Male 5-15 Members 

______ ______ Large Advanced JH/MS •9th Grade and Below •Female/Male 16-30 Members 

______ ______ Non-Tumbling High School 

NON-TUMBLING DIVISION 

•12th Grade and Below 

GAME TIME DIVISIONS 

•Female 5-30 Members 

______ ______ Time Out Cheer High School •12th Grade and Below •Female/Male No Team Size Limit 

______ ______ Fight Song High School •12th Grade and Below •Female/Male No Team Size Limit 

______ ______ Time Out Dance High School •12th Grade and Below •Female/Male No Team Size Limit 

______ ______ Time Out Cheer JH/MS •9th Grade and Below •Female/Male No Team Size Limit 

______ ______ Fight Song JH/MS •9th Grade and Below •Female/Male No Team Size Limit 

______ ______ Time Out Dance JH/MS •9th Grade and Below •Female/Male No Team Size Limit 

______ ______ Time Out Cheer Recreation/Youth •16 Yrs of Age and Younger •Female/Male No Team Size Limit 

______ ______ Time Out Dance Recreation/Youth •16 Yrs of Age and Younger •Female/Male No Team Size Limit 

______ ______ Time Out Cheer Elementary •6th Grade and Below •Female/Male No Team Size Limit 

______ ______ Time Out Dance Elementary •6th Grade and Below •Female/Male No Team Size Limit 

NOTE: Should your team be competing in a Game Time Division with any “non-cheerleader” participants (i.e. Drum Line, Flag Runners, etc.) who will be 

included in the routine, please complete the following information: 

____________ # of non-cheerleader participants (1 day pass - $20 per person) 

____________ # of non-cheerleader participants (2 day pass - $35 per person) 

For a complete listing of rules, restrictions and guidelines, please visit nca.varsity.com






_________________________________________________________ 

Team Name 

THE COACH IS RESPONSIBLE FOR FILLING OUT THIS ROOMING LIST FORM. 

Please check the boxes which are applicable, letting NCA know if you are a coach, participant, spectator, male or female. You may have spectators and participants 

room together. If necessary, please make additional copies to accommodate large room needs. 

*Triple room accommodations 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. 

Room 1 

1. ___________________________________ ❑ ❑ ❑ ❑ ❑ 

2.___________________________________ ❑ ❑ ❑ ❑ ❑ 

3.___________________________________ ❑ ❑ ❑ ❑ ❑ 

4.___________________________________ ❑ ❑ ❑ ❑ ❑ 

Arrival Date:___________________ Departure Date:___________________ 

Room 2 

P = Participant S = Spectator C = Coach M = Male F = Female 

P S C M F 

P S C M F 

1. ___________________________________ ❑ ❑ ❑ ❑ ❑ 

2.___________________________________ ❑ ❑ ❑ ❑ ❑ 

3.___________________________________ ❑ ❑ ❑ ❑ ❑ 

4.___________________________________ ❑ ❑ ❑ ❑ ❑ 


Room 3 

P S C M F 

1. ___________________________________ ❑ ❑ ❑ ❑ ❑ 

2.___________________________________ ❑ ❑ ❑ ❑ ❑ 

3.___________________________________ ❑ ❑ ❑ ❑ ❑ 

4.___________________________________ ❑ ❑ ❑ ❑ ❑ 


Room 4 

P S C M F 

1. ___________________________________ ❑ ❑ ❑ ❑ ❑ 

2.___________________________________ ❑ ❑ ❑ ❑ ❑ 

3.___________________________________ ❑ ❑ ❑ ❑ ❑ 

4.___________________________________ ❑ ❑ ❑ ❑ ❑ 


Room 5 

P S C M F 

1. ___________________________________ ❑ ❑ ❑ ❑ ❑ 

2.___________________________________ ❑ ❑ ❑ ❑ ❑ 

3.___________________________________ ❑ ❑ ❑ ❑ ❑ 

4.___________________________________ ❑ ❑ ❑ ❑ ❑ 


________________________________________________________ 

NCA HSN 

Name of Event Attending 

Rooming List Change Fee: There will be a $50 charge for any changes made to the room list within 5 weeks of the event start date. A $50 fee will be charged for each 

subsequent change submitted. In order to avoid any late fees, please submit a fi nal list along with your registration adhering to all deadlines. 

Room 6 

P S C M F 

1. ___________________________________ ❑ ❑ ❑ ❑ ❑ 

2.___________________________________ ❑ ❑ ❑ ❑ ❑ 

3.___________________________________ ❑ ❑ ❑ ❑ ❑ 

4.___________________________________ ❑ ❑ ❑ ❑ ❑ 


Room 7 

P S C M F 

1. ___________________________________ ❑ ❑ ❑ ❑ ❑ 

2.___________________________________ ❑ ❑ ❑ ❑ ❑ 

3.___________________________________ ❑ ❑ ❑ ❑ ❑ 

4.___________________________________ ❑ ❑ ❑ ❑ ❑ 


Room 8 

P S C M F 

1. ___________________________________ ❑ ❑ ❑ ❑ ❑ 

2.___________________________________ ❑ ❑ ❑ ❑ ❑ 

3.___________________________________ ❑ ❑ ❑ ❑ ❑ 

4.___________________________________ ❑ ❑ ❑ ❑ ❑ 


Room 9 

P S C M F 

1. ___________________________________ ❑ ❑ ❑ ❑ ❑ 

2.___________________________________ ❑ ❑ ❑ ❑ ❑ 

3.___________________________________ ❑ ❑ ❑ ❑ ❑ 

4.___________________________________ ❑ ❑ ❑ ❑ ❑ 


Room 10 

P S C M F 

1. ___________________________________ ❑ ❑ ❑ ❑ ❑ 

2.___________________________________ ❑ ❑ ❑ ❑ ❑ 

3.___________________________________ ❑ ❑ ❑ ❑ ❑ 

4.___________________________________ ❑ ❑ ❑ ❑ ❑ 

Arrival Date:___________________ Departure Date:___________________






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 

2012 NCA Senior & Junior High School National Championship. Please see below for the process each team must take in order to complete the 

download process. While NCA does 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 2012 NCA Senior & Junior High School National 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 fi rst 30 seconds of the routine, you may choose to perform again given 5 minutes to regroup. If the malfunction occurs 31 seconds of 

the routine or beyond, you may choose to perform again given 10 minutes to regroup. 

PLEASE PRINT CLEARLY 

___________________________________________________________________________________________________________________ 

First Name Last Name 

___________________________________________________________________________________________________________________ 

School Name 

___________________________________________________________________________________________________________________ 

Email Address Cell Phone # 

Division: 

(Please list division that you will be competing in during NCA Sr & Jr High School National Championship) 

__________________________________________________________________________________________________________________ 

You have three options for music download: 

1). Send your CD along with this form to be RECEIVED in the NCA offi ce before January 2, 2012 to: HSN Music Download, 2010 Merritt Drive, 

Garland, TX. 75041. 

2). Email this completed form and an MP3 or WAV fi le to: nca_music@yahoo.com by January 2, 2012. Note: FILE MAY NOT EXCEED 20 MB. 

3). Schedule an appointment for January 6th at the Dallas Convention Center during check-in. You may request an appointment by 

Emailing: nca_music@yahoo.com 

��All music for your routine can be on ONE or TWO tracks�� 

If you submit two tracks, the first portion of your music will be on track #1 and the second portion on track #2. NCA will create two 

downloads and the coach will be responsible for starting and stopping each track. If you submit your music on one track, you will only be 

required to press play/pause prior to the start of your routine. 

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 2 minutes 30 second time limit with my cheer section included. 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 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. 

_____________________________________________________ 

Offi ce Use Only Track Name 

Signature Date






2012 VIDEO QUALIFICATION 

High School/Junior High Squads should perform a 30-second cheer without music, showing your squad’s best ability in all areas. A spirited 

run-in is allowed and timing will begin with the fi rst movement of the cheer. The cheer must adhere to the NCA Safety Guidelines. 

This form must accompany your video. Please be sure to check the division in which your squad fi ts. 

Fill out all information and send entry form and video to: 

NCA HSN NCA HSN 

Video Qualifi cation Video Qualfi cation 

P.O. Box 660359 2010 Merritt Drive 

Dallas, Texas 75266 Garland, Texas 75041 

(Postal address) (For UPS or FedEx) 

Contact Information 

_________________________________________________________________________________________________________________ 

Coach - All correspondence will be forwarded to this address 

_________________________________________________________________________________________________________________ 

Street Address City State Zip Code 

_________________________________________________________________________________________________________________ 

Coach Day Telephone Number Coach Night Telephone Number 

_________________________________________________________________________________________________________________ 

School Name and Division 

_________________________________________________________________________________________________________________ 

Street Address City State Zip Code 

_________________________________________________________________________________________________________________ 

Telephone Number Fax Email Address 

School Cheer Divisions 

❑ Small Novice High School 

❑ Medium Novice High School 

❑ Large Novice High School 

❑ Small Novice JH/MS 

❑ Novice JV/Freshman 

❑ Large Novice JH/MS 

❑ Intermediate Elementary 

❑ Small Intermediate High School 

❑ Medium Intermediate High School 

❑ Large Intermediate High School 

❑ Coed Intermediate High School 

❑ Small Intermediate JH/MS 

❑ Intermediate JV/Freshman 

❑ Large Intermediate JH/MS 

❑ Small Advanced High School 

❑ Medium Advanced High School 

❑ Large Advanced High School 

❑ Coed Advanced High School 

❑ Advanced JV/Freshman 

❑ Small Advanced JH/MS 

❑ Large Advanced JH/MS 

❑ Non-Tumbling High School 

Please refer to the NCA website, NCA.Varsity.com, for information on age, 

gender, squad number and Division requirements. 

*Game Time divisions do not need to qualify. 

VIDEOS MUST BE POSTMARKED BY NOVEMBER 11, 2011. 

___________________________________________________________________________________________________________________ 

Team Name Contact Name Contact Phone Number

NCA reserves the right to split, combine and delete divisions as warranted and/or deemed appropriate. 

Please refer to the NCA Competition and Safety Guidelines for Age Eligibility, Skill Restrictions and Enrollment Requirements prior to registering for a specifi c division. 

ELEMENTARY 

DIVISIONS 

INTERMEDIATE ELEMENTARY 

5-30 Members 

6th Grade and Below 

Female/Male 

TIME OUT DANCE ELEMENTARY 

No Team Size Limit 


Female/Male 

LARGE NOVICE JH/MS 

LARGE INTERMEDIATE JH/MS 

LARGE ADVANCED JH/MS 

16-30 Members 

16-30 Members 

16-30 Members 




Female/Male 

Female/Male 

Female/Male 

Teams comprised exclusively of 9th Graders must compete in the JV/Freshman Division or a High School Division 

ELEMENTARY 

GAME TIME 

DIVISIONS 

Female/Male 

JUNIOR HIGH/ 

MIDDLE SCHOOL 

DIVISIONS 

TIME OUT CHEER ELEMENTARY 



Female/Male 

Female/Male 

Female/Male 


SMALL NOVICE JH/MS 

5-15 Members 


SMALL INTERMEDIATE JH/MS 

5-15 Members 


SMALL ADVANCED JH/MS 

5-15 Members 


RECREATION/ 

YOUTH 

GAME TIME 

DIVISIONS 

TIME OUT DANCE RECREATION/YOUTH 


16 Yrs of Age and Younger 

Female/Male 

Female/Male 

Female/Male 

Female/Male 


JV/FRESHMAN 

DIVISIONS 

TIME OUT CHEER RECREATION/YOUTH 


16 Yrs of Age and Younger 

Female/Male 

NOVICE JV/FRESHMAN 

5-20 Members 


INTERMEDIATE JV/FRESHMAN 

5-20 Members 


ADVANCED JV/FRESHMAN 

5-20 Members 


TIME OUT DANCE JH/MS 



Female/Male 

NON-TUMBLING HIGH SCHOOL 

No Tumbling Allowed 

5-30 Members 


Female 

JUNIOR HIGH/ 

MIDDLE SCHOOL 

GAME TIME 

DIVISIONS 

FIGHT SONG JH/MS 



Female/Male 

COED INTERMEDIATE HIGH SCHOOL 

5-30 Members 


Female/Male 

COED ADVANCED HIGH SCHOOL 

5-30 Members 


Female/Male 

TIME OUT CHEER JH/MS 



Female/Male 

HIGH SCHOOL 

DIVISIONS 

LARGE NOVICE HIGH SCHOOL 

21-30 Members 


Female/Male 

LARGE INTERMEDIATE HIGH SCHOOL 

21-30 Members 


Female 

LARGE ADVANCED HIGH SCHOOL 

21-30 Members 


Female 

TIME OUT DANCE HIGH SCHOOL 



Female/Male 

Female/Male 

MEDIUM NOVICE HIGH SCHOOL 

13-20 Members 


MEDIUM INTERMEDIATE HIGH SCHOOL 

13-20 Members 


Female 

MEDIUM ADVANCED HIGH SCHOOL 

13-20 Members 


Female 

HIGH SCHOOL 

GAME TIME 

DIVISIONS 

FIGHT SONG HIGH SCHOOL 



Female/Male 

Female/Male 

Female/Male 

SMALL NOVICE HIGH SCHOOL 

5-12 Members 


SMALL INTERMEDIATE HIGH SCHOOL 

5-12 Members 


Female 

SMALL ADVANCED HIGH SCHOOL 

5-12 Members 


Female 

TIME OUT CHEER HIGH SCHOOL 



NOVICE INTERMEDIATE ADVANCED 

NCA SCHOOL DIVISIONS - Fall 2011 - Spring 2012 CHAMPIONSHIPS 

QUEST FOR THE BEST!

NCA SCHOOL DIVISIONS - RULES AND RESTRICTIONS 

NOVICE SKILLS RESTRICTIONS 

Novice teams will follow AACCA Safety Guidelines with these additional skill restrictions. 

TIME OUT CHEER RULES AND RESTRICTIONS 

Showcase your best sideline crowd-leading material 

The use of signs, poms, fl ags, and/or megaphones is encouraged 

• 1 minute 15 seconds time limit 

• Time will begin and end with Buzzer sound - similar to Time Out at Game 

• Emphasis on crowd involvement 

• At least 2 components required from the following: cheers, chants, 

traditional yells, and/or drum cadences 

• No music permitted. Drum cadence can be used (CD or Live Drummer) 

• No baskets, sponge, elevator, or similar type tosses permitted 

• No inversions and/or twisting into or out of stunts 

• No single leg extended stunts 

• Maximum diffi culty in tumbling is limited to standing back handspring 

Standing Tumbling. Standing tumbling is limited to a standing single back handspring. (Standing back handspring series and 

jump/back handspring combinations are not allowed). Standing tucks are not allowed. 

Running Tumbling. Running tumbling is limited to front and back handspring series. Flips and aerials are not allowed (no tucks). 

Stunts. Single leg stunts may not be held or pass through an extended position. (No extended liberties). Twisting transitions are 

limited to a 1/2 twist by the top person (full ups are not allowed). 

Pyramids. Extended one leg stunts must be braced by at least one person at prep level or below. Connection must be made prior 

to executing single leg stunt and must be made at prep level or below. Any time a top person is released by the bases and braced 

by other top persons , they may not perform any skill during transition and must land in a cradle. 

Dismounts. Only straight pop downs, basic straight cradles and 1/4 turns are allowed. 

Tosses. The only body position allowed is a straight ride. 

INTERMEDIATE SKILLS RESTRICTIONS 

Intermediate teams will follow AACCA Safety Guidelines with these additional skill restrictions. 

FIGHT SONG RULES AND RESTRICTIONS 

Perform your favorite school fi ght song 


• Up to three eight counts may be incorporated with stunts, tumbling and/or jumps 

• Same skill restrictions as listed in Time Out Cheer Rules and Restrictions 

TIME OUT DANCE RULES AND RESTRICTIONS 

Perform your favorite Time-Out dance 


• Traditional sideline uniforms required 

• Emphasis on crowd entertainment 

• No stunts or tumbling permitted 

Standing Tumbling. Flips are not allowed. (No standing back tucks or back handspring back tucks). 

Running Tumbling. Flips may only be performed in a tuck position. Flips may only be performed from a round off or round off 

back handspring entry. No tumbling is allowed after the fl ip. No twisting during the fl ip. 

Stunts. Twisting transitions to and from an extended position may not exceed 1/2 twisting transition. 

Pyramids. During a pyramid transition, top person may pass above 2 persons high while in direct, arm-to-arm contact with two 

other top persons at prep level or below. 

Dismounts. Only straight pop downs, basic straight rides, and 1/4 turns are allowed from any single leg stunt. Up to 1 1/4 twists 

are allowed from any two leg stunt. 

Tosses. Up to 1 trick allowed during a toss. Tosses may not exceed 1 twisting rotation. 

JUNIOR HIGH / MIDDLE SCHOOL/ ELEMENTARY SKILLS RESTRICTIONS 

Junior High, Middle School, and Elementary teams will follow Additional Restrictions as listed in the AACCA Safety Guidelines. 

SEE FULL COMPETITION RULES AT NCA.VARSITY.COM/GAMETIME.ASPX 

ADVANCED SKILLS RESTRICTIONS 

Advanced teams will follow the standard AACCA Safety Guidelines with no other skill restrictions. 

NCA - SIMPLY THE BEST!






FAX 

completed 

form to: 

972.840.4054 

MAIL 

completed 

form to: 

2010 Merritt 

Drive 

Garland, TX 

75041 

CREDIT CARD AUTHORIZATION FORM 

School Name: 

Coach Name: 

Customer Number: Invoice Number: 

Event/Session Code: 

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) 

HSN SHERATON 

Your credit card will be charged the amount specifi ed 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 its contents. 

For your security, please do not email this form. 

Complete and return by fax or mail.






Please refer to the NCA website, NCA.varsity.com, for complete rules and guidelines. The rules and guidelines 

contained in this Bid Packet are excerpts from the comprehensive rules and guidelines, and are intended to be 

helpful and informative as you consider and prepare to register for the event. 

DIVISION GUIDELINES 

High School/Junior High division squads must consist entirely of students who have not graduated from high 

school. Divisions are determined by the grade of the participants at the time of the competition, regardless of the 

participant’s current ages. 

Generally, every member of a team representing a school must be enrolled at that school, must be on a team 

offi cially representing the school, and must perform in the offi cial uniform of that school. All exceptions to this 

rule must receive written approval from NCA at least 2 weeks prior to competition. In an approved exception, a 

cheerleader must be a full-time member of the competing team and may not represent any other school-based 

team throughout the entire season. Promoting cheerleaders from other campuses for the sole purpose of 

competition will not be allowed. Members must be offi cially recognized by the competing school’s 

administration as a member of the competing team’s cheerleading squad. 

NCA strongly recommends that you have an alternate (not a member of another competing squad at the same 

event), who is prepared to substitute in the event of injury, probation, etc. No cheerleader may represent more 

than one school performance division team, even in the event of injury or emergency. Once a team checks into 

the championship, the team will not be allowed to change divisions due to an injury. 

NOTE: Cheerleaders may compete in Performance and Game Time Divisions. 

For “male only” private schools, squad participants must consist of members that attend offi cial feeder/sister 

private schools only. Participants in the Private division must not attend public schools. 

A mascot counts as a member of the team if and only if he/she performs gymnastics, stunts, or serves as a 

spotter for a stunt or pyramid. Mascots must be appropriately attired so their mobility, vision, etc. are not 

impaired. 

ELIGIBILITY POLICY 

In fairness to all, NCA strictly enforces its age/grade requirements for each division. NCA reserves the right to 

assess a penalty, disqualify, reclaim any and all awards and/or remove television appearance for any team/gym 

found to be in violation of the eligibility policy, whether before, during or after the Event. 

A Team Roster Form will be sent to all coaches participating in an NCA Championship. One roster must be 

completed per team, and should include each participant’s name, age, grade and birth date. This form must be 

signed and given to NCA during the event check-in. A school representative must sign and date this form. For High 

School and Junior High teams these forms must be notarized by school administration. The Team Roster Form will 

be reconciled against the Release and Waiver Form to ensure all members are accounted for. 

LEGALITY VERIFICATION 

As a coach, it is important to be current on the NCA Rules and Safety Guidelines. If you have questions concerning 

any safety guidelines or questions regarding specifi c stunts, pyramids and/or dance skills, please follow these steps. 

This will ensure that you receive a timely and accurate response to your questions. 

•All questions must be in written form. Due to the differences in interpretation and terminology, no phone 

calls will be accepted. Do not rely on prior rulings from NCA championships. A separate DVD must be 

submitted for each competition to ensure legality.






For partner stunt, pyramid, or dance skill approval, you must send a DVD that contains the skill in question 

along with a letter stating the skill you are questioning. DVD must include the following: 

1. Front, side and back view of skill. 

2. Name(s) of all championships where you will be performing skill and the division you will be 

performing in. 

3. Include your name, team name, address, email and phone number on your DVD. 

4. Do not send the entire routine, only the skill(s) in question. Your DVD will be kept on fi le at NCA. 

DVD’s that are not in the above format will NOT be viewed. 

DVD’s MUST BE RECEIVED IN THE NCA OFFICE at least TWO WEEKS PRIOR to the championship date. DVD’s 

not received in the NCA offi ce two weeks prior to the championship date will NOT be reviewed. 

Videos may also be emailed to: ncandavideos@gmail.com. Videos should not exceed 10mb and should be in 

Windows Media Player or Quicktime format. 

Send videos to: 

NCA Legalities for HSN, P.O. Box 660359, Dallas, TX 75266-0359. 

You may Federal Express or UPS Overnight at least two weeks prior to the championship date to: NCA Legalities 

for HSN, 2010 Merritt Dr., Garland, TX 75041. 

NOTE: Do not depend on your choreographer, coach or director to determine if something is legal. If you feel 

that something may be illegal, send a DVD to the NCA offi ce. 

GAME TIME NATIONAL CHAMPION AWARDS 

There will be one NCA Game Time National Champion title awarded at the NCA Senior and Junior High School 

National Championship in each division (High School, Junior High/Middle School, Elementary and Recreation). 

Elementary and Recreation may only enter two categories (Time Out Cheer and Time Out Dance). 

The National Championship will be presented to the team having the highest total of two (2) category scores. If 

a team enters three categories, their two highest scores will be totaled to determine their total score. 

To be eligible to win the NCA Game Time National Championship title, teams must compete in at least two of 

the Game Time categories offered, and their fi nal ranking must be in the top three in a minimum of one of the 

categories (Fight Song, Time Out Cheer, Time Out Dance). Fight Song category is not offered in the Elementary 

and Recreation Divisions. 

Participants cannot compete twice in the same Game Time category. 

If a team wins the NCA Game Time National Championship as well as a Performance Division National 

Championship, individuals will receive only one national championship jacket. Teams will receive a banner 

0and trophy for each national title.

NCA/NDA NCA CHAMPIONSHIP RELEASE AND WAIVER 

***PARTICIPANT *** 

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 

Dallas, TX 

_________________________________ 

City, State of Event 

Jan. 7-8 

PAGE 1 of 2 

____________________ 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. 

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____________________________________________ Date:_________________________________________ 

Relationship to Minor:__________________________________________________________ Minor Birthdate:________________________________ 

I, identified above as Minor, acknowledge that I have read this Release and Waiver form. 

Signature of Minor:X___________________________________________________________ Date:_________________________________________ 

Witness Signature:_____________________________________________________________ Date:_________________________________________ 

Witness Address:______________________________________________________________ 

EVENT RULES 

PAGE 2 of 2 

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 NCA 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 

Dallas, TX 

_________________________________ 

City, State of Event 

Jan. 7-8 

____________________ 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:_____________________________________________________________ Date:_______________________________________________ 

Witness Signature:______________________________________________________________ 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:_______________________________________________

2012 NCA Senior & Junior High School National Championship ...

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