2025 Atomic Allstars Enrolment Form

Athlete Information

Athlete Full Name

Athlete Date of Birth (DD.MM.YYYY)

Athlete Residential Address

Athlete Suburb

Athlete Postcode

Primary Parent/Guardian Name (if under 18yrs old)

Athlete Contact Number (or primary parent/guardian if under 18 yrs old)

Athlete Contact Email Address (or primary parent/guardian if under 18 yrs old)

Emergency Contact 1 Name/Relationship & Number (must be different than primary parent/guardian)

Emergency Contact 2 Name/Relationship & Number (must be different than primary parent/guardian)

Athlete Medical Information

Please enter your medicare number?

Do you have private health insurance?

YES

Do you have ambulance cover? Please note you will not be covered for ambulance cover by your cheerleading insurance Atomic Allstars Cheer highly recommends every athlete have sufficient cover

YES

Athlete Approx. height (in cm) **we require this information incase of medical emergencies

Athlete Approx. weight (in kg) **we require this information incase of medical emergencies

Do you have any pre-existing medical conditions that we should be aware of that may impact on your ability to participate in club activities, injury treatment or medication prescriptions?

Other Pre-existing medical conditions

2025 Team Placement Acceptance

To accept your offered position(s) please select the corresponding team(s) below. By making this selection you are accepting a position on that squad and agreeing to the cost indicated below X 46 continuous payments (or part thereof calculated on a pro rata basis commencing classes after the official start date of January 29th 2025). Please note: there is an individualised selection for ALL cheer and ALL dance crossover variations so please ensure you carefully select the one that applies to you.

Dropdown

Direct Debit Arrangement

Flyers: If I am/my child is identified by coaches as a flyer I understand that they will participate in a compulsory 30 minute flyers class each week. I accept an additional $10 per week x 46 payments will be added to my direct debit (Applies to ELITE competitive teams only)

OPTION 1: I am a CURRENT Atomic direct debit user. I want to use my current account details and I agree to be debited 46 x continuous weekly payments starting on the 27th of January 2024 of the amount indicated by your team placement selection made above

OPTION 2: I am NOT a current Atomic direct debit user and I will need to be setup with a direct debit. You will be sent a link to set up the required direct debit arrangement for the amount indicated by your team placement selection made above.

OPTION 3: I will pay the whole year UPFRONT by CASH or BANK TRANSFER. I will be sent an invoice for CLASS FEES* for the entire 2025 season based on the amount indicated above by your team placement selection (Full payment will be required before start of term).

Please Note: Competition Fees & Uniform/Apparel will be invoiced separately as per our standard practice.

Please select an option below

TERMS & CONDITIONS

Class tuition is a contract formed upon submission of the enrolment document with direct debit payment agreement or pay upfront agreement. The contract start date is the date recorded by the digital submission of the enrolment document by the customer who submits that form. The contract expires on the 31st of December 2025 OR once the full amount owed is paid. As part of our class tuition contract we allow a 21-day cooling off period from the class commencement date for customers to choose to cancel their tuition contract without any repercussions. After the 21-day period, customers have a legal obligation to fulfil their contract; all costs must be paid in full. FIRST YEAR SEMI COMPETITIVE ATHLETE EXCEPTION: The tuition contract for first year semi competitive athletes allows for an extended cooling off period. These athletes must advise us in writing by no later than the Thursday 21st of March that they wish to cancel their tuition contract without any repercussions. After this date, first year semi competitive customers have a legal obligation to fulfil their contract; all costs must be paid in full. Scheduled payments that fail to transact or bounce will result in a temporary loss of service to the athletes: they will be gently removed from classes until the payment is made. Failed payments will incur an automatic $21.90 Failed Payment Fee. In addition to this each dishonoured debit payment will also attract a $10 administration fee from Atomic to cover the time spent chasing up missed payments. If outstanding payments continue to fail to the point that we are required to pass the debt onto a debt collector, all debt collectors’ fees will be added on top of the outstanding amount owed. In the event of serious injury or severe illness, debit payments may be suspended for athletes who are incapable of attending training for a period of time longer than 4 weeks. To suspend your payments, a suspension form will need to be filled in and submitted to the office to be approved along with a medical certificate outlining the terms of the reason for suspension including length of time. Suspension requests cannot be backdated and can only be approved at the discretion of the Atomic Management team.

I hereby acknowledge that I have read, understood & agree to all terms & conditions set out in this form by Atomic Allstars Cheer including my financial obligations as a customer, waiver/photo release terms & conditions

Signature

2025 ENROLMENT FEE