2014 Cheer & Dance OASSA Fall Cheer & Dance Challenge Sunday, November 9, 2014 Dublin Jerome HS 8300 Hyland-Croy Road Dublin Ohio 43016 EASY REGISTRATION! Cheer and Dance Divisions—see registration form Registration and Challenge Questions? Contact: Lenee Buchman at lenee.buchman@gmail.com Competition Fees $15 per participant per event OASSA will combine divisions according to registration. If postmarked AFTER MAIL REGISTRATION TO: October 10 fees are Lenee’ Buchman, Cheerleading/Dance Consultant $20 per participant OASSA 8050 North High Street, Suite 180 Columbus, Ohio 43235-6484 Fax: 614-430-8315 Please submit payment with Registration Form OASSA Fall Cheer/Dance Challenge Registration Form Sunday, November 9, 2014 • Dublin Jerome HS • Dublin, Ohio 43016 The OASSA Fall Challenge is set up for both Junior High and High School cheer and dance teams to compete. The competition will be based on the events below. OASSA RESERVES THE RIGHT TO DIVIDE OR COMBINE THE EVENTS BASED ON SIZE AND NUMBER OF TEAMS REGISTERED. Teams may be split into small/large divisions based on the following numbers: Large - 12 and above / Small - 11 and below. CONTACT INFORMATION (COACH) Coach’s name: _______________________________________________________(ALL correspondence will be sent to your email) Home Address: __________________________________________________________________________________________________ StreetCityStateZip CELL Phone: (_____)________________________________E-mail: _________________________________________________________ School Name: _____________________________________________________ Phone: _______________________________________ School Address: __________________________________________________________________________________________________ StreetCityStateZip District: ________________________________ County: _______________________________ Check the competitions entering and write the number of participants. CHEER: m 7th Grade NONMOUNT _____# of participants m 8th Grade NONMOUNT _____# of participants m Middle School NONMOUNT _____# of participants (Combo of 7 & 8) m Freshman NONMOUNT _____# of participants m J.V. NONMOUNT _____# of participants m Varsity NONMOUNT _____# of participants m 7th Grade MOUNT m 8th Grade MOUNT m Middle School MOUNT (Combo of 7 & 8) m Freshman MOUNT m J.V. MOUNT m Varsity MOUNT _____# of participants _____# of participants _____# of participants _____# of participants _____# of participants _____# of participants DANCE: m Pom (Emphasis on motions) m Jazz (Emphasis on technique) m Hip/Hop (Emphasis on popular funk) Grade Level _________ Grade Level _________ Grade Level _________ CHEER/DANCE EVENT(S) CHEER/DANCE EVENT(S) If Postmarked AFTER October 10, 2014 1ST EVENT — # OF PARTICIPANTS ______@$20 = $__________ 2ND EVENT — # OF PARTICIPANTS ______@$20 = $__________ 3RD EVENT — # OF PARTICIPANTS ______@$20 = $__________ If Postmarked by October 10, 2014 1ST EVENT — # OF PARTICIPANTS______@$15 = $ ________ 2ND EVENT — # OF PARTICIPANTS______@$15 = $ ________ 3RD EVENT — # OF PARTICIPANTS______@$15 = $ ________ TOTAL $ _________ If CHEER only = 1 event If 2 DANCE = 2 events ______# of participants ______# of participants ______# of participants TOTAL $ _________ If CHEER and DANCE = 2 events If CHEER and 2 dance = 3 events Questions?—Contact Lenee’ Buchman, Cheer/Dance Consultant <lenee.buchman@gmail.com> PLEASE SEE REVERSE SIDE FOR METHOD OF PAYMENT INFORMATION (OVER) PAYMENT INSTRUCTIONS Include payment with registration form. ($15 per participant per event; $20 per participant per event if not postmarked by October 10, 2014). METHODS OF PAYMENT — CHECK (school, cashier’s or money order) - MAKE PAYABLE TO OASSA. NO PERSONAL CHECKS ACCEPTED. SCHOOL PURCHASE ORDER - Mail your form along with a copy of the purchase order or fax to 614-430-8315. PO # ___________________________________ CREDIT CARD MC/VISA/DISCOVER School Card #___________________________________ or Personal Card # __________________________________ Exp. Date ____________ Exp.Date ____________ Your team will NOT be registered UNTIL we receive some form of payment mentioned above. NO REFUNDS (Exceptions for schools that are in the playoffs and competition time conflicts.) Completed registration form AND roster with payment must be POSTMARKED BY OCTOBER 10, 2014 to avoid an additional fee. Late registrations will be accepted at the fee of $20 per participant per event. NO REGISTRATIONS POSTMARKED AFTER OCTOBER 30 WILL BE ACCEPTED. Mail registration and payment to: OASSA, Lenee’ Buchman, 8050 N High Street, Suite 180, Columbus, OH 43235-6484 PLEASE ATTACH TO THIS FORM A LEGIBLE ROSTER PREPARED IN WORD, EXCEL, ETC. SHOWING THE FOLLOWING: 1. SCHOOL NAME: 2. Squad/Team Categories: (ex. Cheer Varsity NM and Pom) 3. ALL Participants: List names, gender, and grade under appropriate categories (including Alternates if applicable) (Note Captains by *) ALL COMPETITORS MUST APPEAR ON ROSTER AS A PARTICIPANT OR ALTERNATE. Non-competing Alternates may attend the Fall Challenge at spectator price (purchase at door) or enter bldg. with team (pay with registration); please state your wishes on roster--we’ll contact you if questions. 4. All Coaches: Name, Squad, Cell Phone and Email Address. You will receive an e-mail confirmation when your registration has been processed. If you do not receive a confirmation within 7 days of your submission, please contact Lenee’ Buchman at <lenee.buchman@gmail.com>.