2013-2014 ATHLETE IDENTIFICATION
MEMBERSHIP APPLICATION This application is for NEW ATHLETES ONLY. If you were entered in the system with a previous gym, you will simply need to renew through your existing profile OR fill our the Renewal Form. Please refer to the Renewal Application, do not complete THIS application!
GYM NAME ____________________________________________________________________________________ ATHLETE FULL NAME (as printed on your birth certificate) ______________________________ FIRST
______________________________ MIDDLE
______________________________ LAST
NICK NAME (The “FIRST NAME” you go by) __________________________________________________________ GENDER
Male
Female
E-MAIL (Athlete) _________________________________________________________________________________ BIRTH DATE ____________________________________
PROOF OF AGE PROVIDED
I authorize the gym/program listed above to upload the birth certificate for this athlete:
Yes
Yes No
No Parent Initials __________
To process your request for athlete membership, your all star gym/program will create a user profile for this athlete. Both the ATHLETE and the PARENT/LEGAL GUARDIAN will have access to this account using unique user names and passwords. Athletes under the age of 13 will have “readonly” access. Athletes 13 and older will have access to the account with permissions to update records (such as contact information). PLEASE LIST THE INFORMATION BELOW TO CREATE THE ATHLETE ACCOUNT: USER NAME _______________________________________ (Must be UNIQUE, do not use same for parent user name) TEMPORARY PASSWORD ___________________________ (User should change this when they log in the first time) PARENT INFORMATION In this section you will provide information on the PARENT/LEGAL GUARDIAN of the athlete. ______________________________ FIRST
______________________________ LAST
E-MAIL (Parent) _________________________________________________________________________________ To process your request for athlete membership, your all star gym/program will create a user profile for the PARENT/LEGAL GUARDIAN of this athlete. Both the ATHLETE and the PARENT/LEGAL GUARDIAN will have access to this account using unique user names and passwords. The PARENT/LEGAL GUARDIAN will have access to the account with permissions to update records (such as contact information). PLEASE LIST THE INFORMATION BELOW TO CREATE THE PARENT ACCOUNT: USER NAME (The account will be created using the PARENT E-MAIL address listed above) TEMPORARY PASSWORD ___________________________ (User should change this when they log in the first time)
Please READ the attached ATHLETE MEMBERSHIP TERMS BEFORE SIGNING 1. 2. 3.
I fully understand and accept each of the conditions listed in the attached Athlete Membership Terms, allowing my participation in any USASF Member Event Producer event. The birth date listed above is correct and can be verified by providing a birth certificate. I fully understand that failure to provide a birth certificate upon request or providing a birth certificate that has been altered or falsified may result in disciplinary action including but not limited to restriction of membership and ineligibility.
Athlete Signature __________________________________________________________________ Date ____________________________ All athletes age 12 & older must sign this form *Required for any athlete who is not yet 18 years old: As parent or legal guardian of this athlete, I hereby verify by my signature below, that : 1. 2. 3.
I fully understand and accept each of the conditions listed in the attached Athlete Membership Terms, allowing my participation in any USASF Member Event Producer event. The birth date listed above is correct and can be verified by providing a birth certificate. I fully understand that failure to provide a birth certificate upon request or providing a birth certificate that has been altered or falsified may result in disciplinary action including but not limited to restriction of membership and ineligibility.
Parent or Guardian Signature _________________________________________________________ Date ____________________________
2013-2014 ATHLETE IDENTIFICATION
ATHLETE RENEWAL This application is for ATHLETES WHO WERE ENTERED INTO THE SYSTEM IN A PREVIOUS SEASON. If you are a new athlete, DO NOT FILL OUT THIS APPLICATION, refer to the NEW ATHLETE MEMBERSHIP IDENTIFICATION FORM. GYM NAME ____________________________________________________________________________________ Is this gym the program you competed with last season?
Yes
No
If No, list your gym from last season ______________________________________________________________ ATHLETE FULL NAME (as printed on your birth certificate) ______________________________
______________________________
FIRST
______________________________
MIDDLE
LAST
NICK NAME (The “FIRST NAME” you go by) __________________________________________________________ GENDER
Male
Female
E-MAIL (Athlete) _________________________________________________________________________________ BIRTH DATE ____________________________________
PROOF OF AGE CONFIRMED Yes No
I authorize the gym/program listed above to upload the birth certificate for this athlete, IF NOT CONFIRMED:
Yes No
Parent Initials __________ E-MAIL (Parent) _________________________________________________________________________________
Please READ the attached ATHLETE MEMBER TERMS BEFORE SIGNING 1.
I fully understand and accept each of the conditions listed in the attached Athlete Membership Terms, allowing my participation in any USASF Member Event Producer event.
2.
The birth date listed above is correct and can be verified by providing a birth certificate.
3.
I fully understand that failure to provide a birth certificate upon request or providing a birth certificate that has been altered or falsified may result in disciplinary action including but not limited to restriction of membership and ineligibility.
Athlete Signature __________________________________________________________________ Date ____________________________ All athletes age 12 & older must sign this form *Required for any athlete who is not yet 18 years old: As parent or legal guardian of this athlete, I hereby verify by my signature below, that : 1.
I fully understand and accept each of the conditions listed in the attached Athlete Membership Terms, allowing my participation in any USASF Member Event Producer event.
2.
The birth date listed above is correct and can be verified by providing a birth certificate.
3.
I fully understand that failure to provide a birth certificate upon request or providing a birth certificate that has been altered or falsified may result in disciplinary action including but not limited to restriction of membership and ineligibility.
Parent or Guardian Signature _________________________________________________________ Date ____________________________ For help recovering username or password, go to the Athlete Identification User Guide listed on www.usasf.net.
Thank you for your continued participation in All Star Cheer and Dance.
ATHLETE MEMBERSHIP TERMS Athlete Identification Member MEMBERSHIP FEE: FREE Benefits of Registered Membership Printable Member ID Card Eligible to participate in SANCTIONED events hosted by USASF Member Event Producers Membership Period The USASF athlete membership period is from August 1, 2013 to July 31, 2014 Membership Fees will not be pro-rated for late-season or delayed registration Athlete Membership, once paid to the USASF, is NON-refundable and NON-transferrable (The funds may not be applied to a different athlete. Once the membership has been paid for a specific athlete, the membership belongs to that athlete only and may not be transferred to anyone else.) Proof of Age An image of the original birth certificate is required to be uploaded into the athlete identification system by the gym owner or individual parent. Individual gym owners will make a decision for the parent or gym to upload. Note: Images of birth certificates will be used to confirmed by USASF staff. For your protection, the image will be digitally shredded.
A photo will also need to be uploaded by parent or gym owner.
Any athlete found to have provided an incorrect birth date and/or birth certificate that has been falsified or altered in any manner may be subject to disciplinary action including but not limited to restriction of membership and eligibility
Athlete Membership Belongs to the athlete (regardless of who registers the athlete and pays for membership) Allows participation in USASF Member Event Producer SANCTIONED Events Is a way to identify the athletes in all star cheer and dance Is a way to verify age of participating athletes Is a way to legitimize all star cheer and dance in the sports world Does not prohibit an athlete from attending an event that is hosted by a non-USASF Event Producer Does not prohibit an athlete from leaving the gym that initially registered the athlete and joining a second gym during the same membership term (Exception: Participation in 2014 Cheerleading Worlds, see below) Athlete Membership and Worlds Participation Any athlete that has competed on the floor with a team in any level from a gym (Primary Gym), during the Worlds competition season (November 1, 2013 – May 1, 2014), will have to have a USASF Gym Release Waiver signed by the owner of that gym (Primary Gym) before that athlete is eligible to compete with another gym (Secondary Gym) at the 2014 Cheerleading Worlds. The USASF Gym Release Waiver is located on the www.USASF.net website.